D.2 PAST PERFORMANCE REFERENCES.rtf
RTF text file 227 KB Posted
- Attached to
- Water Reverse Osmosis
- Solicitation number
- 36C25726Q0785
About this file
This is a Past Performance References template form required for submission in response to solicitation 36C25726Q0785 for Water Reverse Osmosis services. The form is designed to collect three separate past performance references from offerors, with each reference requiring detailed information about the contractor's experience with government or commercial organizations.
For each reference, the template requires offerors to provide the organization name and address, contract number, a brief description of work performed, and whether the contractor served as prime or subcontractor. Additional required information includes performance dates, total contract value, disclosure of any terminations for cause or default with explanations if applicable, and notification of any contract discrepancy reports filed with explanations. The form also requires point of contact information for contract administration, including the Contracting Officer's Representative (COR) or point of contact name, title, telephone number, and email address, along with a comments section for each reference. This template serves as an evaluation tool for the Department of Veterans Affairs Veterans Health Administration to assess contractor capability and performance history in delivering reverse osmosis water system services.
Text of this file
D.2 ATTACHMENT 36C25726Q0785 – PAST PERFORMANCE REFERENCES
REFERENCE 1:
Name of Government or Commercial Organization: Address:
Contract Number:
Brief Description:
| Contractor Performed as (check one): Prime Contractor | Sub-Contractor | |
| Dates of Performance (if current include expiration): | Total Value of Contract: |
Any terminations for cause or default? Circle YES or NO
| If yes, brief explanation: | Any contract discrepancy reports filed? Circle YES or NO | |
| If yes, brief explanation: | Point Of Contact/COR: | |
| Title: | Telephone Number: |
Point of Contact’s email address:
Comments:
REFERENCE 2:
Name of Government or Commercial Organization: Address:
Contract Number:
Brief Description:
| Contractor Performed as (check one): Prime Contractor | Sub-Contractor | |
| Dates of Performance (if current include expiration): | Total Value of Contract: |
Any terminations for cause or default? Circle YES or NO
| If yes, brief explanation: | Any contract discrepancy reports filed? Circle YES or NO | |
| If yes, brief explanation: | Point Of Contact/COR: | |
| Title: | Telephone Number: |
Point of Contact’s email address:
Comments:
file_0.wmf
REFERENCE 3:
Name of Government or Commercial Organization: Address:
Contract Number:
Brief Description:
| Contractor Performed as (check one): Prime Contractor | Sub-Contractor | |
| Dates of Performance (if current include expiration): | Total Value of Contract: |
Any terminations for cause or default? Circle YES or NO
| If yes, brief explanation: | Any contract discrepancy reports filed? Circle YES or NO | |
| If yes, brief explanation: | Point Of Contact/COR: | |
| Title: | Telephone Number: |
Point of Contact’s email address:
Comments:
Other files
| File | Type | Posted |
|---|---|---|
| D.1 Wage Determination 2015-5253 Rev. 29.pdf | ||
| 36C25726Q0785 0003_.pdf | ||
| 36C25726Q0785 0002.pdf | ||
| 36C25726Q0785 0001.pdf | ||
| D.3 ATTACHMENT.docx | DOCX document | |
| D.1 Wage Determination 2015 5253 Rev 12 3 2025.pdf | ||
| S02 36C25726Q0785_.pdf |
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