Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
G004--Transitional Recovery House Beds for West Haven CT area
Solicitation number
36C24123Q1024
Issued by

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This document contains a past performance worksheet template for federal contractors to submit references from up to three previous government contracts or commercial projects relevant to the requirements of solicitation number 36C24123Q1024 for transitional recovery house beds in the West Haven, Connecticut area issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The template includes fields for contractors to provide details of past performance including contract numbers, award and completion dates, values, types of work performed, names and contact information for technical and contracting points of contact, locations of performance, descriptions of work, any commendations or awards received, and lists of major subcontractors for up to three references.

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Other files

File Type Posted
P07 West Haven SCLS WD 2015-4127 revision 25 dated 6302023.pdf PDF
36C24123Q1024.docx DOCX document
VACHS PWS 5 Transitional Beds LOS up to 120 days.docx DOCX document
Transitional Recovery House Beds West Haven area CT HCS Line Items.xlsx XLSX spreadsheet
QASP CERS 5 Transitional Shelter Beds WH.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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