D.4 REFERENCE CONTRACT WORKSHEET.docx

DOCX document 14 KB Posted

Attached to
R699--CTRS SERVICE MONITORS Federal contract opportunity
Solicitation number
36C26223R0005
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

About this file

This document contains a reference contract worksheet and information on a related federal contract opportunity. The reference contract worksheet requests details on a past contract to provide verification, including the legal name of the contracting entity, contract number, description of tasks performed, geographic location of services, dates of performance, and contact information for a reference. It also asks if the reference contract was performed by the offeror or a proposed subcontractor, and if the role was as a prime contractor or subcontractor.

The related federal contract opportunity is solicitation number 36C26223R0005 from the VA Greater Los Angeles Healthcare System to provide Care, Treatment, Rehabilitative, Service Monitors. The opportunity type is a solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22.

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Other files for this federal contract opportunity

Other files attached to R699--CTRS SERVICE MONITORS, newest first.
File Type Posted
36C26223R0005 0004.pdf PDF
36C26223R0005 0004_1.docx DOCX document
36C26223R0005 0003.pdf PDF
RFP 36C26223R0005 - CTRS Veterans Service Monitors.pdf PDF
36C26223R0005 0003.pdf PDF
D.4 WAGE DETERMINATIONS - LA COUNTY - 07-20-22.pdf PDF
D.3 VA-FSC VENDOR FILE REQUEST FORM.pdf PDF
D.2 Reference Contract Worksheet.pdf PDF
36C26223R0005 0003_1.docx DOCX document
36C26223R0005 0002_1.docx DOCX document
36C26223R0005 0002.pdf PDF
36C26223R0005 0001.pdf PDF
36C26223R0005 0001_1.docx DOCX document
D.5 VA-FSC VENDOR FILE REQUEST FORM.pdf PDF
D.2 - VA NOTICE OF LIMITATIONS ON SUBCONTRACTING_CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION.pdf PDF
RFP 36C26223R0005 - CTRS Veteran Service Monitors.pdf PDF
D.6 WAGE DETERMINATIONS - LA COUNTY - 07-20-22.pdf PDF
36C26223R0005_1.docx DOCX document
Show all 18

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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 name, phone number, and email address of a person at the entity with whom the Offeror held the contract who can verify the information the Offeror provides in the narrative description for this factor pertaining to the offerors provision of Social Worker Staffing services.

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

File details come from the government source that posted it. Updated .