Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
G004--AP-4486 Services labor for the Recuperative Care Program for Homeless Veterans
Solicitation number
36C24123Q0987
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This document contains a past performance worksheet template for federal contractors to provide references from up to three previous government contracts or commercial projects relevant to G004--AP-4486 Services labor for the Recuperative Care Program for Homeless Veterans, a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The template collects contact information for technical and contracting points of contact for each reference as well as contract details like award date, period of performance, value, work description, awards received, and subcontractors. However, it does not include any specific requirements for the Recuperative Care Program services solicitation.

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P07 Boston SCLS WD 2015-4047 Rev 22 12272022.pdf PDF
Boston HCS Medical Recuperative Care Program Line Items.xlsx XLSX spreadsheet
Boston SOW Medical Recuperative Care Program.docx DOCX document
36C24123Q0987.docx DOCX document

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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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