S02 D.4 Experience Worksheet - Technical Capabilities.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C25725Q0468
About this file
This document is an Experience Worksheet for Technical Capabilities related to RFQ 36C25725Q0468 for Perfusionist Services issued by the Department of Veterans Affairs Veterans Health Administration in San Antonio, TX. The worksheet requires potential contractors to provide detailed information about their previous perfusionist service contracts, including contract dates, geographic locations, specific tasks performed, quality control plans, and contingency personnel replacement strategies. The form is designed to assess a quoter's technical capabilities and past performance in providing perfusionist services within the last three years, with an emphasis on documenting contracts with federal, state, local government, or private agencies.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25725Q0468 0004.docx | DOCX document | |
| S02 D.3 Fillable Schedule of Services 10.7.2025 02.xlsx | XLSX spreadsheet | |
| S02 D.3 Fillable Schedule of Services 10.7.2025.xlsx | XLSX spreadsheet | |
| 36C25725Q0468 0003.docx | DOCX document | |
| 36C25725Q0468 0002.docx | DOCX document | |
| 36C25725Q0468 0001.docx | DOCX document | |
| S02 D.7 Organizational Conflict of Interest.docx | DOCX document | |
| S02 D.2.1 WMC Contractor Request.pdf | ||
| S02 D.6 Contractor Certification - Immigration and Nationality Act.docx | DOCX document | |
| S02 D.3 Fillable Schedule of Services.xlsx | XLSX spreadsheet | |
| S02 D.2.4 WMC Self Certification Form.pdf | ||
| S02 D.2.3 Declaration for Federal Employment.pdf | ||
| S02 D.2.2 WMC Fingerprinting Request Form.pdf | ||
| S02 D.5 Contractor Rules of Behavior.docx | DOCX document | |
| 36C25725Q0468_1.docx | DOCX document | |
| S02 D.1 Quality Assurance Surveillance Plan.docx | DOCX document |
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Text version
RFQ 36C25725Q0468 – Perfusionist Services
D.4 Experience Worksheet (Technical Capabilities)
Experience Worksheet (Technical Capabilities)
The legal name(s) of the entity(ies) with whom the Quoter held the contract for Perfusionist Services.
Was the contract with a Federal, State, local government, or private agency under which you have provided the same or similar services required in this solicitation within the last three (3) years.
The name, phone number, and email address of a person at the entity with whom the Quoter held this contract who can verify the information the Quoter provides in the narrative description for this contract.
Contract Number(s)
The dates during which the Quoter performed the Perfusionist Services
In what geographic location did the Quoter performed the Perfusionist Services
A description providing details of the specific tasks the Quoter performed under that Perfusionist Contract.
Quality Control Plan: Description and reporting reflecting the Quoter’s plan for meeting contract requirements and performance standards.
Contingency plan for replacing key personnel to maintain services as required under the terms of the contract.
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