Past Performance Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
AMENDMENT 0001***AUTOMATIC TRANSFER SWITCH (ATS) TESTING & IMAGING Federal contract opportunity
Solicitation number
36C24126Q0716
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

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Written by GovTribe AI ·

This is a Past Performance Worksheet template designed to document contractor experience on relevant government contracts. The form captures three reference contracts (REF #1, REF #2, and REF #3) and requires contractors to provide comprehensive information about their past performance on similar work. For each reference contract, contractors must identify the contracting activity/organization, contract number, award date, performance period, contract value, and contract type. The worksheet also requires documentation of the technical and contracting points of contact for each reference, including name, title, address, telephone, and email information, along with the place of performance and a detailed description of work performed.

Additional required information includes any commendations or awards received during contract performance and a list of major subcontractors utilized. This template is specifically being used in response to GSA solicitation 36C24126Q0716 for Automatic Transfer Switch (ATS) Testing & Imaging services at the VA Boston Healthcare System, Jamaica Plain Division. Contractors responding to this Department of Veterans Affairs Veterans Health Administration opportunity, anticipated to be a Base Year Plus Four One-Year Options contract, will need to complete this worksheet to demonstrate their qualifications and relevant past performance on similar preventative maintenance and testing work for federal agencies or commercial organizations.

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Other files for this federal contract opportunity

Other files attached to AMENDMENT 0001***AUTOMATIC TRANSFER SWITCH (ATS) TESTING & IMAGING, newest first.
File Type Posted
36C24126Q0716 0001.pdf PDF
SCA WD 2015-4047 Rev 35.pdf PDF
36C24126Q0716.pdf PDF
LOS Certification - 36C24126Q0716.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 .