D.3 PAST PERFORMANCE REFERENCE3.doc

This document is a Past Performance Reference form template for a federal contract opportunity. The form provides a structured format for capturing key information about a contractor's past performance, including contractor details, contract number, dollar value, period of performance, and contact information for the Contracting Officer's Technical Representative (COTR) and Contracting Officer. The template includes sections for documenting the contractor's name, address, contract specifics, and a space to detail services performed, but in this instance, the form is blank and not filled out with specific contract information.

The related federal contract opportunity is Solicitation Number 36C25725Q0233 for the VA North Texas, Dallas facility, seeking ceiling-mounted surgical lights, anesthesia booms, equipment booms, and a video integration solution for 11 operating rooms and one hybrid OR room. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 17, and involves the procurement of medical equipment to upgrade surgical facilities.