Past Performance Worksheet.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- 36C24126Q0641
About this file
This is a Past Performance Worksheet template designed to document contractor experience on previous federal contracts. The form requests comprehensive information across three separate reference contracts, including the contracting activity/agency name and address, contract number, award date, performance period (beginning and completion dates), total contract value, contract type, and designated points of contact for both technical and contracting matters (with full contact details including name, title, address, telephone, and email). Additional required information includes the place of performance, detailed description of work performed, any commendations or awards received, and identification of major subcontractors.
In the context of the associated solicitation (36C24126Q0641) for Behavioral Health Door Alarm Test and Recertification services at the Boston Healthcare System, Brockton Division, this worksheet would be used to evaluate the past performance of vendors bidding on the contract. The solicitation is a small business set-aside under NAICS code 561621 with a $25.0M size standard, seeking to procure testing and certification services for 114 mental health overdoor alarms and 6 alarm controllers, with quarterly testing (3 times annually) and annual certification (1 time annually) across a base year plus four option years. Vendors responding to this RFQ would need to complete this Past Performance Worksheet to demonstrate relevant experience with similar alarm testing and certification projects for federal agencies.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24126Q0641.docx | DOCX document | |
| WD 2015-4053 - Mass-Brockton Rev34.pdf | ||
| LOS certification.pdf |
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Text version
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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