Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
G004--Attach QASP to RFQ - SMI 14-033-CS CRS Program Station 631 FY2022-2027
Solicitation number
36C24123Q0023
Issued by

About this file

This document contains a solicitation for contracted residential services for veterans with serious mental illness along with a past performance worksheet template. The solicitation seeks provision of services at the VA Central Western Massachusetts facility in Leeds, MA from January 2023 through December 2027. Quotes are due by November 21, 2022 and must be submitted electronically to Craig Harris. The services required include care for homeless veterans with serious mental illness. The contract will be a firm-fixed price award made to the best value offer based on price, past performance on two similar contracts, and technical qualifications of proposed staff. Subcontracting is permitted but limited by regulations.

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Other files

File Type Posted
LOS Certification 12-10-2020.doc DOC document
P07 CW Massachusetts - Northampton WD 2015-4095 04202022.pdf PDF
36C24123Q0023_1.docx DOCX document
36C24123Q0023 Line Items.xlsx XLSX spreadsheet
CORRECT PWS-CERS SMI 2022-2027.docx DOCX document
QASP HCHV CRS 2022 2027 SMI.pdf PDF

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Text version

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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