AttachmentAPASTPERFORMANCEQUESTIONAIRE.docx
DOCX document 21 KB Posted
- Attached to
- Y1DA--652-21-102 Replace Nurse Call System Federal contract opportunity
- Solicitation number
- 36C24625R0047
About this file
This document is an Attachment B: Corporate Experience Form template for a federal contract opportunity to replace a Nurse Call System for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6. The form is designed for potential offerors to document their past performance and corporate experience by providing details on up to five completed or ongoing contracts.
The template requires vendors to list key contract information including customer name, address, point of contact details, contract value, contract term, effective date, contract status, and a detailed scope of work description. The form specifies that offerors must provide between three to five contract examples with a minimum contract value of $1,000,000 that are similar in size and scope to the current solicitation (Solicitation Number: 36C24625R0047). Completed contracts will be evaluated under the Technical Capability Sub-Factor 2 - Corporate Experience section of the proposal.
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Text version
ATTACHMENT B: CORPORATE EXPERIENCE FORM
Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) examples of their choice of completed projects or in progress of similar contracts in size and scope with a minimum threshold value exceeding $1,000,000. See Technical Capability Sub-Factor 2 – Corporate Experience for all required information to be included.
Contract #1
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status ___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #2
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #4
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #5
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
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