Past Performance Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
AMENDMENT 0002 - STERIRACK (BRAND NAME/EQUAL) SHELVING UPGRADE Federal contract opportunity
Solicitation number
36C24126Q0554
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

About this file

Written by GovTribe AI ·

This is a Past Performance Worksheet template designed for contractors to document and submit relevant contract experience in response to federal solicitations. The template provides a standardized format for submitting up to three past performance references (REF #1, REF #2, and REF #3), with each reference requiring comprehensive information about the contracting activity, government agency, or commercial firm involved. For each reference, contractors must provide the contract number, award date, performance period dates, total contract value, contract type, and the place of performance. The worksheet requires detailed identification of both technical and contracting points of contact, including their names, titles, addresses, telephone numbers, and email addresses for government verification purposes.

Additionally, each reference section includes fields for describing the work performed, listing any commendations or awards received, and identifying major subcontractors involved. The template is blank and requires completion by the contractor; it does not contain pre-filled information or instructions beyond the field headers. This worksheet is a standard evaluation tool used by federal agencies, including the Department of Veterans Affairs mentioned in the example, to assess a contractor's qualifications and past performance capabilities relevant to the solicited requirement—in this case, the STERIRACK Shelving Upgrade project for the VA Boston Healthcare System scheduled to begin June 30, 2026.

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Other files for this federal contract opportunity

Other files attached to AMENDMENT 0002 - STERIRACK (BRAND NAME/EQUAL) SHELVING UPGRADE, newest first.
File Type Posted
0002 - Attachment.pdf PDF
36C24126Q0554 0002.pdf PDF
36C24126Q0554 0001.pdf PDF
LOS Certification - 36C24126Q0554.pdf PDF
SCA WD 2015-4047 Rev 33 dated 5.13.2026.pdf PDF
36C24126Q0554.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 .