D.1 ATTACHMENT 1 - REFERENCE CONTRACT WORKSHEET.pdf
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- Solicitation number
- 36C26225Q0785
About this file
The D.1 Reference Contract Worksheet is a form for potential contractors to document their previous experience providing Chiller Preventative Maintenance Services for the VA Long Beach Healthcare System solicitation (36C26225Q0785). The worksheet requires detailed documentation about prior contracts, including the legal name of the entity, contract number, specific tasks performed, geographic location of services, contract dates, number of chillers serviced, and contact information for verification.
The document includes a critical warning that failure to provide comprehensive and specific information about previous chiller maintenance experience may result in the government viewing the offeror as lacking relevant experience. The worksheet is designed to help evaluators assess a contractor's qualifications and past performance for this specific chiller maintenance services opportunity, with an emphasis on substantive, verifiable documentation rather than general claims of capability.
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Text version
36C26225Q0785
D.1 Reference Contract Worksheet
Reference Contract
The legal name of entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract.
(example: Veterans Affairs, VISN 22)
Contract Number
Whether the contract was for Chiller Preventative Maintenance Services.
A description providing details of the specific tasks the Offeror (or Offeror’s proposed subcontractor) performed under that contract.
In what geographic location the Offeror (or Offeror’s proposed subcontractor) performed these services.
(example: Los Angeles, CA)
The dates during which the Offeror (or Offeror’s proposed subcontractor) performed the contract.
36C26225Q0785
The number of Chillers that were serviced under that contract.
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract who can verify the information the Offeror provides in the narrative description for this factor.
NOTE: The information requested above is required for the Government to evaluate proposals for the Experience evaluation factor. General statements claiming experience providing Chiller Preventative Maintenance Services that do not include the information required above, are not acceptable. FAILURE TO SUBMIT THE INFORMATION REQUIRED ABOVE, USING SECTION D.1
REFERENCE CONTRACT WORKSHEET, TO SUPPORT THE OFFEROR’S CLAIMED
EXPERIENCE MAY BE VIEWED BY THE GOVERNMENT AS EVIDENCE THAT THE OFFEROR
LACKS EXPERIENCE PROVIDING CHILLER PREVENTATIVE MAINTENANCE SERVICES WHEN
EVALUATING QUOTES FOR THE EXPERIENCE EVALUATION FACTOR.
Any other relevant information about this experience or how it relates to the Chiller Preventative Maintenance services requested by the SOW.
| D.1 ATTACHMENT 1 – Reference Contract Worksheet for Offeror’s Response to |
| Factor 1 – Experience |
| Reference ContractRow1: |
| subcontractor held the contract: |
| Contract Number: |
| Contract NumberRow1: |
| Whether the contract was for Board CertifiedBoardEligible Psychiatrist Physician Services in a healthcare setting Yes No: |
| A description providing details of the specific tasks the Offeror or Offerors proposed subcontractor performed under that contractRow1: |
| A description providing details of the specific tasks the Offeror or Offerors proposed subcontractor performed under that contractRow2: |
| performed these services: |
| The dates during which the Offeror or Offerors proposed subcontractor performed the contract: |
| performed the contract: |
| The number of patients to whom the Offeror or Offerors proposed subcontractor provided Board CertifiedBoardEligible Psychiatrist Physician Services in a healthcare setting under that contract: |
| Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract: |
| The name phone number and email: |
| The name phone number and email address of a person at the entity with whom the Offeror or Offerors proposed subcontractor held the contract who can verify the information the Offeror provides in the narrative description for this factor: |
| undefined: |
| Text1: |
| Text2: |
File details come from the government source that posted it. Updated .