ATTACHMENT G - PAST PERFORMANCE REFERENCE - NX EQ Opthalmic Perimeters.pdf
PDF 138 KB Posted
- Attached to
- NX EQ Ophthalmic Perimeters
- Solicitation number
- 36C10G25R0049
About this file
This document is an Attachment G Past Performance Reference template for the NX EQ Ophthalmic Perimeters federal contract opportunity (Solicitation 36C10G25R0049). The template provides a structured format for offerors to document three past performance references, with sections for contract details including company information, contract specifics, performance description, and performance evaluation. Each reference section requires comprehensive information such as contract type, total awarded price, period of performance, contracting organization, and a detailed explanation of work performed and its relevance to the current solicitation requirements. The template also includes fields for addressing any performance issues, corrective actions taken, and referencing Contractor Performance Assessment Reporting System (CPARS)/Past Performance Information Retrieval System (PPIRS) reports. The document is designed to help evaluators assess an offeror's prior performance and capability to execute the ophthalmic perimeters contract for the Department of Veterans Affairs.
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ATTACHMENT G: PAST PERFORMANCE REFERENCE
NX EQ Ophthalmic Perimeters
SOLICITATION: 36C10G25R0049
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to Offeror: ☐ OFFEROR ☐ SUBCONTRACTOR Role on the Contract: ☐ PRIME ☐ SUBCONTRACTOR
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance(including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
Past Performance Reference # 2
COMPANY who performed this work:
Final or Projected Final Total Price/Cost:
Delivery date/Period of
Performance: Explain any performance issues or problems that occurred, corrective actions taken, Past Performance Reference # 3
COMPANY who performed this work:
Final or Projected Final Total Price/Cost:
Delivery date/Period of
Performance: Explain any performance issues or problems that occurred, corrective actions taken,
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