Past Performance Worksheet.xlsx

17 KB Posted

Attached to
R425--Traffic Analysis Brockton B8 Service
Solicitation number
36C24126Q0385
Issued by

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Written by GovTribe AI ·

This is a Past Performance Worksheet template designed to document contractor experience on relevant federal contracts. The worksheet requires contractors to provide detailed information on up to three past performance references, with each reference section requesting comprehensive contract details including the contracting activity name, government agency or commercial firm involved, contract number, award date, performance period (beginning and completion dates), total contract value, and contract type. For each reference, contractors must identify both a technical and contracting point of contact with their respective titles, addresses, telephone numbers, and email addresses, along with the place of performance and a detailed description of work performed.

Additionally, the worksheet requires contractors to document any commendations or awards received during contract performance and list major subcontractors utilized on each project. This template is being submitted in connection with the Department of Veterans Affairs' solicitation R425--Traffic Analysis Brockton B8 Service (Solicitation Number 36C24126Q0385) under the Veterans Health Administration Veterans Integrated Service Network 1, which seeks traffic engineering analysis capabilities. The worksheet serves as a mechanism for evaluators to assess the offeror's relevant past performance and qualifications for the traffic analysis work required under this solicitation.

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36C24126Q0385_1.docx DOCX document
Wage Determination.pdf PDF
LOS certification.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:

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