Past Performance.docx
DOCX document 13 KB Posted
- Attached to
- 6515--Consignment Edwards Heart Valve
- Solicitation number
- 36C26123Q0270
About this file
This document contains a past performance questionnaire for medical device suppliers. It requests information on the vendor's top five Department of Veterans Affairs customers who have implanted five or more of the vendor's aortic heart valves, annuloplasty rings, mitral heart valves, or equivalent products in the past year. For each customer, the vendor must provide the customer name, point of contact, phone number, and product numbers.
The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration for consignment of Edwards heart valves. The solicitation number is 36C26123Q0270 and the opportunity name is 6515--Consignment Edwards Heart Valve. The solicitation is open to medical device suppliers to provide the listed products on consignment at VA medical centers in Veterans Integrated Service Network 21.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26123Q0270 0001.docx | DOCX document | |
| 36C26123Q0270_1.docx | DOCX document |
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Text version
Past Performance Questionnaire Instructions:
Complete the following past performance information for your top five Department of Veterans Affairs (VA) customers. Past Performance information submitted should be for 5 VA Medical Centers that have implanted 5 or more Inspiris Aortic Heart Valve, MC3 Annuloplasty, Mitral Annuloplasty rings, Mitris Mitral Heart Valve, and the Intuity Elite Heart Valves or equal in the past year. If your company has not implanted 5 or more Inspiris Aortic Heart Valve, MC3 Annuloplasty, Mitral Annuloplasty rings, Mitris Mitral Heart Valve, and the Intuity Elite Heart Valves or equal in the past year within VAs, include information for 5 other customers. First, provide information for any VAs, then, information for sales to other federal government facilities (Department of Defense, Public Health, Bureau of Prisons, etc.), then, commercial customers.
1. Customer Name:
Point of Contact:
Phone Number:
Products Numbers:
2. Customer Name:
Point of Contact:
Phone Number:
Products Numbers:
3. Customer Name:
Point of Contact:
Phone Number:
Products Numbers:
4. Customer Name:
Point of Contact:
Phone Number:
Products Numbers:
5. Customer Name:
Point of Contact:
Phone Number:
Products Numbers:
File details come from the government source that posted it. Updated .