ATTACHMENT G_PAST PERFORMANCE REFERENCES_PAPR_04012025.docx
DOCX document 31 KB Posted
- Attached to
- 6515--NX EQ Powered Air Purifying Respirators
- Solicitation number
- 36C10G25Q0059
About this file
This document is a Past Performance References template for a federal solicitation (36C10G25Q0059) for NX EQ Powered Air-purifying Respirators issued by the Department of Veterans Affairs. The solicitation is a 100% Service-Disabled Veteran Owned Small Business Set-aside for the Veterans Health Administration's National Non-Expendable Equipment Program, seeking to purchase respirators for VA Medical Centers. The contract will have a base 12-month period with four additional 12-month option periods, utilizing the NAICS code 339113 with a business size standard of 800 employees.
The attachment provides a structured template for potential contractors to document three past performance references, requiring detailed information such as contract type, performance period, total cost, contracting organization, and performance descriptions. However, the specific template is currently blank, with no actual past performance records filled in. Quotes are to be submitted through SAM.gov, with firm-fixed price orders to be placed in writing specifying delivery locations, dates, and exact quantities. Delivery will be FOB destination, and the Small Business Administration has granted a nonmanufacturer rule waiver for this requirement.
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Text version
NX EQ Powered Air-purifying Respirators
SOLICITATION: 36C10G25Q0059
ATTACHMENT G: PAST PERFROMANCE REFERENCES
NX EQ Powered Air-purifying Respirators
SOLICITATION: 36C10G25Q0059
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ 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 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 report for this reference are to be addressed.
Past Performance Reference # 2
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ 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 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 report for this reference are to be addressed.
Past Performance Reference # 3
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ 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 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 report for this reference are to be addressed.
File details come from the government source that posted it. Updated .