S02-Attachment C-Relevant Experience Form.docx

DOCX document 18 KB Posted

Attached to
L063--Physical Security Equipment Maintenance and Testing Federal contract opportunity
Solicitation number
36C25621Q0123
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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This document contains a solicitation for physical security equipment maintenance and testing services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 is seeking these services for the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas and nine community-based outpatient clinics. The period of performance is a base year with four optional one-year extensions. Quotes are due no later than December 28, 2020 and this requirement is set aside for service-disabled veteran owned small businesses. The place of performance is Houston and surrounding areas. All questions regarding this solicitation must be submitted by December 16.

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Other files for this federal contract opportunity

Other files attached to L063--Physical Security Equipment Maintenance and Testing, newest first.
File Type Posted
S02-Attachment -B- Past Performance Questionnaire.docx DOCX document
S02 36C25621Q0123-Physical Security and Testing Services-12-10-20.pdf PDF
36C25621Q0123_1.docx DOCX document
S02 --Attachment A-Wage Determinations.pdf PDF

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RELEVANT EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one. 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 Contact Point
4.Contact Point’s Email Address
5.Contact Point’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 Request For Quote documents. Attach separate sheet if additional space is needed.)

36C25621Q0123 ATTACHMENT C

Contract #2

1.Customer Name
2. Customer’s Address
3.Name and Title of Contact Point
4.Contact Point’s Email Address
5.Contact Point’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 Request For Quote documents. Attach separate sheet if additional space is needed.)

Contract #3

1.Customer Name
2. Customer’s Address
3.Name and Title of Contact Point
4.Contact Point’s Email Address
5.Contact Point’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 Request For Quote documents. Attach separate sheet if additional space is needed.)

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