Attachment G - Past Performance Reference - NX EQ Otoscope Ophthalmoscope Sets.docx
DOCX document 19 KB Posted
- Solicitation number
- 36C10G25Q0018
About this file
This document is an Attachment G - Past Performance Reference for a federal contract opportunity. It contains details on the past performance of an offeror for the NX EQ Otoscope Ophthalmoscope Sets solicitation (36C10G25Q0018). The past performance references provided indicate that the offeror has no record of relevant or recent past performance. The document requests specific information about the offeror's past performance, including the contracting organization, contract details, delivery dates, performance issues, and CPARS/PPIRS evaluation, to demonstrate the offeror's ability to meet the requirements of the solicitation.
The related federal contract opportunity is a combined synopsis/solicitation (36C10G25Q0018) issued by the Department of Veterans Affairs for Welch Allyn Green Series 777 Otoscope Ophthalmoscope Sets or equal. The solicitation is a single-award requirements contract for a 12-month base period with four 12-month option periods. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) and includes specific salient characteristics that the offered products must meet. Quotes are due by 1:00 PM EST on November 19, 2024.
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ATTACHMENT G: PAST PERFROMANCE REFERENCE
NX EQ OTOSCOPE OPHTHALMOSCOPE SETS
SOLICITATION: 36C10G25Q0018
☐ 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
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 # 3
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.
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