Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
G004--Emergency Beds EH-CERS Homeless special funded contract
Solicitation number
36C24123Q1020
Issued by

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This document contains a past performance worksheet template to be completed by offerors responding to solicitation number 36C24123Q1020 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The template includes three references to past contracts and collects information such as contract numbers, award and completion dates, values, types of contracts, points of contact, descriptions of work performed, commendations received, and major subcontractors. Offerors are to provide details of relevant prior contracts demonstrating experience providing emergency beds and homeless services, with an emphasis on technical and management capabilities. The solicitation seeks these services on a special funded contract for the Veterans Health Administration.

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Other files

File Type Posted
VACHS PWS 5 to 6 Emergency Beds SMI.docx DOCX document
QASP CERS 5 to 6 Emergency Beds WH.pdf PDF
Emergency Homeless SMI Beds West Haven area CT HCS Line Items.xlsx XLSX spreadsheet
36C24123Q1020.docx DOCX document
P07 West Haven SCLS WD 2015-4127 revision 25 dated 6302023.pdf PDF

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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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