Copy of Past Performance Worksheet 1.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
G004--VA Connecticut Healthcare System’s Mental Health Services Homeless Services Oversight 3- Transitional Beds
Solicitation number
36C24122Q0453
Issued by

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This document contains a past performance worksheet template for three references and details of a solicitation opportunity from the Department of Veterans Affairs.

The past performance worksheet template requests information on three previous government contracts or commercial projects, including contracting agency, contract number, value, period of performance, description of work, and references. The solicitation from VA Connecticut Healthcare System seeks transitional beds and homeless services oversight. It does not provide pricing terms but specifies a response due date of April 5, 2022. The opportunity is set aside for service-disabled veteran-owned small businesses and is issued by the VA Veterans Health Administration VISN 1.

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File Type Posted
36C24122Q0453 0003.docx DOCX document
36C24122Q0453 0002.docx DOCX document
36C24122Q0453 0001.docx DOCX document
P07 West Haven CT WD 2015-4127 03152022.pdf PDF
36C24122Q0453_3.docx DOCX document

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

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