S02 ATTACHMENT_F_PAST PERFORMANCE REFERENCE - NX EQ Combi Oven.docx
DOCX document 25 KB Posted
- Attached to
- NX EQ Combi Oven
- Solicitation number
- 36C10X27Q0003
About this file
This is a Past Performance Reference template for solicitation 36C10X27Q0003 for NX EQ Combi Ovens. The document is a blank form requiring offerors to provide three past performance references demonstrating relevant experience with similar equipment or services. Each reference section requires offerors to identify the company that performed the work, specify whether the offeror served as prime contractor or subcontractor, and provide contract details including the contracting organization, contract/task order number, contract type, awarded price, final cost, delivery dates, and performance period. Additionally, offerors must supply contact information for the Contracting Officer and Program Manager, the relevant NAICS code, and confirmation of CPARS/PPIRS completion status.
For each reference, offerors must provide a detailed description of the requirement and work performed, specifically explaining its relevance to the solicitation's combi oven requirements. The form also requires documentation of any performance issues encountered, corrective actions implemented, and resulting outcomes from those corrective actions, with particular attention to addressing any issues noted in CPARS/PPIRS reports. The template indicates "No record of relevant or recent past performance" in the header, suggesting this is a standard form presented to offerors for completion as part of their proposal submission to the Veterans Health Administration for this national requirements contract.
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ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ Combi Oven
SOLICITATION: 36C10X27Q0003
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to Offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to Offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to Offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
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