Project Experience Attachment 1.docx
DOCX document 19 KB Posted
- Solicitation number
- 36C25624Q0721
About this file
This document is a Corporate Experience Form template that is part of Solicitation 36C25624Q0721 for STERIS Equipment Preventative and Corrective Maintenance Services at the Michael E. DeBakey VA Medical Center in Houston, TX. The solicitation is a Request for Quotation (RFQ) issued as a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside. The North American Industry Classification System (NAICS) code is 811210 with a $34M small business size standard. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 is the awarding agency. The form requires contractors to provide details on up to three relevant past contracts, including customer information, contract values, terms, status, and scope of work. Contractors must be registered in the System for Award Management (SAM) and the SBA VetCert website. The Statement of Work covers providing comprehensive preventative maintenance, corrective maintenance, OEM parts, and support services for government-owned STERIS medical equipment.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25624Q0721.docx | DOCX document | |
| Attachment 2 - Past Performance Questionnaire Attachment 2.docx | DOCX document |
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CORPORATE EXPERIENCE FORM
Please list your contracts in the chronological order beginning with the most recent one. Contracts shall be relevant to the Solicitation. Contracts listed cannot be more than 5 years old. You can list ongoing contracts that began more than 5 years ago.
Contract #1
| 1. | Customer Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Estimated Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status ___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Attachment 1: 36C25624Q0721
Contract #2
| 1. | Customer Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Estimated Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Estimated Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
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