Past Performance Template.docx

DOCX document 18 KB Posted

Attached to
V231--Hoptel Lodging Services - Atlanta VAMC
Solicitation number
36C24724Q1002
Issued by

About this file

This is a past performance template form that offerors must complete and submit with their quotes for solicitation 36C24724Q1002 for Hoptel Lodging Services at the Atlanta VA Medical Center. The template requires offerors to provide details for two past performance references, including government contract/order numbers (if applicable), agency/company served, description of services, location, period of performance, and contact information for a point of contact who can verify the services. The form requests basic vendor information including company name, email, phone number, and Unique Entity Identifier (UEI) number.

The related contract opportunity is an SDVOSB set-aside solicitation for Hoptel lodging services for veteran beneficiaries requiring short-term accommodations near the Atlanta VA Medical Center in Decatur, GA. The NAICS code is 721110 with a $40.0M size standard. Questions should be directed to the Contracting Officer at lasonja.harvey@va.gov.

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Past Performance To be completed by Offeror and submitted with your Quote in accordance with the Instructions to Offerors/Submission of Quotes section of solicitation 36C24724Q1002.

Name of Offeror (Company): _______________________________ Email Address: __________________________________________ Phone Number: ___________________________________________ UEI number of Offeror: ______________________________________

Past Performance Reference 1 Government Contract or Order Number (if applicable)

Agency or Company for whom services were provided

Description of Services

Location of Services

Period of Performance (time frame) of Service

Point of Contact (POC) that can verify services provided

a. POC Name

b. POC Email Address

c. POC Phone Number

Past Performance 2 Government Contract or Order Number (if applicable)

Agency or Company for whom services were provided

Description of Services

Location of Services

Period of Performance (time frame) of Service

Point of Contact (POC) that can verify services provided

a. POC Name

b. POC Email Address

c. POC Phone Number

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