Past Performance Worksheet.xlsx

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Attached to
Maintenance, Inspection, and Testing of the Electrical Power Distribution System
Solicitation number
36C24123Q0921
Issued by

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This document contains a past performance worksheet template for evaluating previous contract experience on three references related to the solicitation for maintenance, inspection, and testing of the electrical power distribution system. The solicitation was issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The template requests information on the contracting activity, contract number and dates, value, type of contract, points of contact, place of performance, description of work, commendations, and major subcontractors for each of the three references. However, the template itself does not provide any specific details on the requirements, response date, or terms for the related solicitation.

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Other files

File Type Posted
Wage Determination 2015-4047 Rev 24 Dated 6.30.2023.pdf PDF
Electrical Inventory List.pdf PDF
LOS Certification.pdf PDF
36C24123Q0921.pdf PDF

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization: Preventative Maintenance, Department of Veterans Affiars
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:

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