ATTACHMENT G - PAST PERFORMANCE REFERENCE - NX EQ Workstations_Medical_PACS.pdf
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- Attached to
- NX EQ Workstations Medical PACS
- Solicitation number
- 36C10G25R0043
About this file
Attachment G is a Past Performance Reference form for the NX EQ Workstations Medical PACS solicitation (36C10G25R0043) issued by the Veterans Health Administration. The form is designed for offerors to provide detailed information about their previous contract performance, including contract details such as the contracting organization, contract type, total awarded price, period of performance, and contact information for the contracting officer and program manager. The form includes sections for describing the work performed, its relevance to the current solicitation, and any performance issues or corrective actions taken. The solicitation seeks a national requirements contract for medical workstations used in picture archiving and communication systems (PACS) across VA medical centers, with a base 12-month period and four 12-month option periods.
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ATTACHMENT G: PAST PERFORMANCE REFERENCE
NX EQ Workstations Medical PACS
SOLICITATION: 36C10G25R0043
☐ 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.
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