Past Performance Factor Worksheet.xlsx

This is a Past Performance Factor Worksheet template designed for the VA Northern California Health Care System (VANCHCS) Special Mode Grounds Transportation Services solicitation (36C26126Q0457). The worksheet requires offerors to document up to five relevant past performance projects demonstrating experience in providing medical transport services. For each project, contractors must provide the contract number, detailed description of medical transport services delivered, awarded dollar amount, annual amount, period of performance, and clarification regarding whether work was performed as a prime contractor or through a joint venture arrangement.

The worksheet is part of a Request for Quote solicitation set-aside exclusively for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) under NAICS code 485999 (Other Transit and Ground Passenger Transportation), with a size standard of $19 million. Offerors must maintain active SAM.gov registration reflecting all awards and submit the completed VAAR 852.219-75 form to be considered for award. The evaluation of past performance submissions will be conducted in accordance with FAR 52.212-2 requirements for commercial items. This worksheet serves as the primary mechanism for evaluating contractor qualifications and capability to deliver the required special mode transportation services to VA beneficiaries.