Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
G004--Emergency Homeless Beds CT HCS
Solicitation number
36C24123Q0568
Issued by

About this file

This document contains a past performance worksheet and a solicitation for emergency homeless beds. The solicitation requests quotes for CT HCS Emergency CERS Bed Services for Station 689 to provide all resources necessary to deliver services according to the attached scope of work. Quotes are due by May 12, 2023 at 11:00 AM EST and shall be submitted electronically to Craig.Harris@va.gov. Award will be made to the best value offer based on price, past performance, and technical evaluation of experience providing similar services. Offerors must demonstrate relevant experience and qualifications of technicians to perform the required services and provide references utilizing the past performance worksheet. Subcontracting will be limited according to FAR requirements. The place of performance is the West Haven VAMC in West Haven, Connecticut. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1.

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Text version

REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

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