S02_Attachment 1_Past Performance Worksheet.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
J065--Surgical Instrument Maintenance and Repair Solicitation Vendor Questions and Government Answers Amendment A00001
Solicitation number
36C24121Q0195
Issued by

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This solicitation requests quotes for surgical instrument maintenance and repair services at two Department of Veterans Affairs medical centers. The West Haven and Newington VAMCs require monthly on-site visits with optional emergency services. The base period of performance is one year with four one-year option periods. Quotes are due by February 16, 2021 and must include pricing for the base and option years, past performance references utilizing the attachment, and evidence of meeting the technical requirements in the performance work statement including staff qualifications and licenses. The requirement is set aside for service-disabled veteran-owned small businesses. The place of performance is the medical centers located in West Haven and Newington, Connecticut.

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36C24121Q0195_2.docx DOCX document
S20_Attachment 2 Limitation on Subcontracting.doc DOC document
36C24121Q0195_1.docx DOCX document
P09_PWS Rev-3.docx DOCX document

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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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