D.3 REFERENCE CONTRACT WORKSHEET.docx
DOCX document 17 KB Posted
- Attached to
- G004--EMERGENCY RESIDENTIAL BEDS - SPA 5-LDSH
- Solicitation number
- 36C26225R0090
About this file
The document is a Reference Contract Worksheet template for a federal contract opportunity related to emergency residential beds. The worksheet requires detailed information about previous contracts, including the legal name of the entity, contract number, specific tasks performed, geographic location of services, contract dates, average monthly number of people served, and contractor/subcontractor status.
The associated federal contract opportunity is a Department of Veterans Affairs solicitation (36C26225R0090) for Emergency Residential Beds in Service Planning Area 5, categorized under NAICS code 624229 and Product Service Code G004. The solicitation is based out of Long Beach, California, with a response deadline of September 25, 2025 at 10:00 AM Pacific Time. The procurement does not involve Recovery Act funds, and no specific set-aside is mentioned. The contract is issued by the Veterans Health Administration's Veterans Integrated Service Network 22 (VISN 22).
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT H - INCIDENT REPORT.docx | DOCX document | |
| ATTACHMENT D - EXTENSION REQUEST - BLANK.docx | DOCX document | |
| ATTACHMENT I - QUALITY ASSURANCE.docx | DOCX document | |
| 36C26225R0090_2.docx | DOCX document | |
| ATTACHMENT K - SQUARES QUICK REFERENCES.pdf | ||
| ATTACHMENT G- HOMES RESIDENTIAL TREATMENT REFERRAL WORKSHEET.docx | DOCX document | |
| ATTACHMENT F - ADMISSION DENIAL REFERRAL TRACKER.xlsx | XLSX spreadsheet | |
| ATTACHMENT C - HEALTHCARE FOR HOMELESS VETERANS INCIDENT REPORT.docx | DOCX document | |
| ATTACHMENT B - CONTRACT RULES OF BEHAVIOR AGREEMENT.pdf | ||
| S02 - 36C26225R0090.docx | DOCX document | |
| ATTACHMENT J - RESIDENTIAL EXIT FORM WORKSHEET.doc | DOC document | |
| ATTACHMENT E - SQUARES.pdf | ||
| ATTACHMENT A - ADA ACCESSIBILITY CHECKLIST FOR EMERGENCY SHELTERS.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 .