D.3 REFERENCE CONTRACT WORKSHEET.docx
DOCX document 17 KB Posted
- Attached to
- G004--NEW RESIDENTIAL SERVICES BEDS (WOMEN)
- Solicitation number
- 36C26225R0075
About this file
The document is a Reference Contract Worksheet template designed for contractors to provide detailed information about previous contracts related to a Department of Veterans Affairs solicitation for new residential services beds for women. The worksheet requires contractors to document specific contract details including the legal name of the contracting entity, contract number, specific tasks performed, geographic location of services, contract dates, average monthly number of people experiencing homelessness served, contractor/subcontractor status, and contact information for contract verification.
The associated federal contract opportunity (Solicitation Number 36C26225R0075) is a VA procurement for residential services beds specifically targeting women veterans, with a response deadline of July 17, 2025 at 3 PM Pacific Time. The solicitation is issued by the Department of Veterans Affairs Network Contracting Office 22 in Long Beach, California, using NAICS code 624229 and product service code G004. The procurement does not involve Recovery Act funds, and the point of contact is Danielle.Carroll4@va.gov. Multiple attachments accompany the solicitation, including reference contract worksheets, ADA accessibility checklists, contract behavior agreements, and various operational tracking forms relevant to homeless veteran residential services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT I - QUALITY ASSURANCE.docx | DOCX document | |
| ATTACHMENT H - INCIDENT REPORT.docx | DOCX document | |
| ATTACHMENT D - EXTENSION REQUEST - BLANK.docx | DOCX document | |
| 36C26225R0075_2.docx | DOCX document | |
| ATTACHMENT G- HOMES RESIDENTIAL TREATMENT REFERRAL WORKSHEET.docx | DOCX document | |
| ATTACHMENT B - CONTRACT RULES OF BEHAVIOR AGREEMENT.pdf | ||
| ATTACHMENT A - ADA ACCESSIBILITY CHECKLIST FOR EMERGENCY SHELTERS.pdf | ||
| S02 - 36C26225R0075 - RESIDENTIAL SERVICES updated 02.pdf | ||
| ATTACHMENT K - SQUARES QUICK REFERENCES.pdf | ||
| ATTACHMENT J - RESIDENTIAL EXIT FORM WORKSHEET.doc | DOC document | |
| ATTACHMENT C - HEALTHCARE FOR HOMELESS VETERANS INCIDENT REPORT.docx | DOCX document | |
| ATTACHMENT F - ADMISSION DENIAL REFERRAL TRACKER.xlsx | XLSX spreadsheet | |
| ATTACHMENT E - SQUARES.pdf |
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Text version
Reference Contract #1
| The legal name of entity with whom the Offeror held the contract |
| (example: Veterans Affairs, VISN 22) |
Contract Number
A description providing details of the specific tasks the Offeror performed under that Contract
| In what geographic location the Offeror performed these services |
| (example: Los Angeles and Orange counties) |
The dates during which the Offeror performed the contract
The average monthly number of people experiencing homelessness to whom the Offeror (or the Offeror’s proposed subcontractor) providing transitional housing services under that contract.
Whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s
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 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.
File details come from the government source that posted it. Updated .