Attachment IV 531 CSI 106 Contractor Past Performance .docx

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Attached to
Y1DA--CON-NRM 531-CSI-106 Remodel 2nd CT
Solicitation number
36C26024R0028
Issued by

About this file

This document is an Attachment IV Past Performance Report for a federal contract opportunity. It provides details on a past performance project related to the remodel of the 2nd CT at the VA Medical Center in Boise, ID. The key information includes:

The project was a Construction NRM (Non-Recurring Maintenance) Project 531-CSI-106, with a period of performance from __________ to ____________. The total contract value was $. The offeror acted as the prime contractor and provided a brief description of the work performed and their roles and responsibilities. The offeror also discussed the relevancy of the past work to the current contract opportunity, any problems encountered, and information about subcontractors and key personnel.

The related federal contract opportunity is Solicitation Number 36C26024R0028 for the Y1DA--CON-NRM 531-CSI-106 Remodel 2nd CT, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20.

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Text version

ATTACHMENT 4

OFFEROR PAST PERFORMANCE REPORT

Construction NRM Project 531-CSI-106 Remodel 2nd CT, VA Medical Center, Boise, ID

PAST PERFORMANCE PROJECT #___ OF ___

*Indicates required information *Name of Offeror:

*Street Address:

*City: *State:

*Zip Code: *Country:

*Project Name:

Street Address:

*City: *State:

Zip Code: *Country:

*Customer POC:
*POC Phone: *POC Email:

The offeror shall ensure that the person named as reference can be contacted with the contact information specified. Unreachable references will result in disqualification of the client reference.

*Contract Percent Complete:

*Period of Performance:

From: ___________ To: _____________

*Contract Award Date:

Projected Completion Date:

Actual Completion Date:

*Total Contract Value:

*Contract Description:

(Brief description of work performed)

*Roles and Responsibilities: PRIME CONTRACTOR: ☐

*Relevancy:

(A brief narrative that addresses how the work performed is similar in scope and complexity to the project being bid)

(Optional) Problems:

(Problems encountered on the identified contract and offeror’s corrective actions)

Additional Information:

Subcontracts:

Were subcontracts involved? __Yes __No (Check one) Comment on subcontracts:

Offeror Key Personnel: (add additional lines as needed)

Offeror Manager/Principal Investigator (name):

Comment on Manager/Principal Investigator:

Offeror Key Person (name):

Comment on Key Person:

Offeror Key Person (name):

Comment on Key Person:

File details come from the government source that posted it. Updated .