D.3 PAST PERFORMANCE REFERENCE INFORMATION.docx
DOCX document 17 KB Posted
- Solicitation number
- 36C24226R0065
About this file
This is a Past Performance Reference template that offerors must complete as part of their proposal submission for the Health Care for Homeless Veterans (HCHV) Contracted Emergency Residence solicitation (36C24226R0065), a follow-on to contract 36C24221D0058 with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2.
Offerors are required to provide at least three past performance references of similar size and scope to the solicitation requirement. For each reference, offerors must supply the contract number, contract value, period of performance, name of the contracting agency or company, and current point of contact information (name, title/position, phone number, and email address). Additionally, offerors must include a brief description of each contract that demonstrates its relevance in scope to the HCHV requirement. The template allows for up to five references total. Offerors bear responsibility for ensuring that all contact information provided is current and valid, and that listed references are capable of answering questions regarding performance and adherence to contract requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24226R0065 0002.docx | DOCX document | |
| 36C24226R0065 0001.docx | DOCX document | |
| D.8 WAGE DETERMINATION.pdf | ||
| D.2 INFORMATION SECURITY RULES OF BEHAVIOR.docx | DOCX document | |
| 36C24226R0065.docx | DOCX document | |
| D.5 HCHV INSPECTION FORM.pdf | ||
| D.7 REQUEST FOR EXTENSION OF PER DIEM FORM.pdf | ||
| D.6 INCIDENT REPORT FORM.pdf | ||
| D.1 QASP - Northport VA HCHV 2026.docx | DOCX document | |
| D.4 KEY PERSONNEL.docx | DOCX document |
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Text version
D.3 PAST PERFORMANCE REFERENCE INFORMATION
Offeror shall complete the listing of past performance references below, including at least three of similar size and scope to this solicitation. References listed must be familiar with the contract and able to answer questions about performance and adherence to requirements. The offeror is responsible for ensuring contact information for all past performance references is the most recent and valid information available.
For each past performance reference identified below, the offeror shall include the following information:
· Contract Number
· Contract Value
· Period of Performance
· Name of agency or company contract was with
· Current Point of Contact (including: name, title or position, phone number, and email address) who can provide performance feedback information
· Brief description of the contract demonstrating the relevance in scope to this requirement
Reference 1:
Contract Number
Contract Value
Period of Performance
Name of Agency/Company
Current Point of Contact
Name
Title/Position
Phone Number
Email Address
Brief Description of Contract
Reference 2:
Contract Number
Contract Value
Period of Performance
Name of Agency/Company
Current Point of Contact
Name
Title/Position
Phone Number
Email Address
Brief Description of Contract
Reference 3:
Contract Number
Contract Value
Period of Performance
Name of Agency/Company
Current Point of Contact
Name
Title/Position
Phone Number
Email Address
Brief Description of Contract
Reference 4:
Contract Number
Contract Value
Period of Performance
Name of Agency/Company
Current Point of Contact
Name
Title/Position
Phone Number
Email Address
Brief Description of Contract
Reference 5:
Contract Number
Contract Value
Period of Performance
Name of Agency/Company
Current Point of Contact
Name
Title/Position
Phone Number
Email Address
Brief Description of Contract
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