S02 D.6 Experience Worksheet.docx
DOCX document 24 KB Posted
- Attached to
- G004--Temporary Emergency Housing - Killeen, TX
- Solicitation number
- 36C25724Q0281
About this file
This document is a Contract Experience Worksheet that is used to collect information about a federal contract the Offeror or their proposed subcontractor has previously held. The worksheet requests details such as the contract number, whether the services were for case management or transitional housing for people experiencing homelessness, a description of the specific tasks performed, the geographic location, contract dates, average monthly number of people served, and whether the Offeror or a subcontractor held the contract. It also requests the contact information of a person who can verify the information provided. This worksheet is likely being used as part of a federal solicitation or contract opportunity, in this case related to providing Temporary Emergency Housing services in Killeen, TX for the Department of Veterans Affairs.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25724Q0281 0003.docx | DOCX document | |
| 36C25724Q0281 0002.docx | DOCX document | |
| 36C25724Q0281 0001.docx | DOCX document | |
| S02 D.1 Quality Assurance Surveillance Plan QASP Final.docx | DOCX document | |
| S02 D.3 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.2 WD 2015-5237 Rev 23 12 26 23.pdf | ||
| 36C25724Q0281_1.docx | DOCX document | |
| S02 D.5 Organizational Conflicts of Interest.docx | DOCX document | |
| S02 D.4 Contractor Certification - Immigration and Nationality Act.docx | DOCX document |
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Text version
D.6 Experience Contract Worksheet Experience Contract #____________
| The legal name of entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract |
| (example: Veterans Affairs, LA City Department of Public Health) |
Contract Number
| Whether the contract was for case management services or transitional housing services, or both, to people experiencing homelessness. |
| Case Management Services (Yes / No) |
Transitional Housing Services (Yes / No)
A description providing details of the specific tasks the Offeror (or Offeror’s proposed subcontractor) performed under that Contract
| In what geographic location the Offeror (or Offeror’s proposed subcontractor) performed these services |
| (example: Los Angeles county, New York City) |
The dates during which the Offeror (or Offeror’s proposed subcontractor) performed the contract
The average monthly number of people experiencing homelessness to whom the Offeror (or Offeror’s proposed subcontractor) provided case management services or transitional housing services, or both, under this contract.
Case management services were provided to __________ people experiencing homelessness on average per month
Transitional housing services were provided to __________ people experiencing homelessness on average per month
Whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s
Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract.
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held this contract who can verify the information the Offeror provides in the narrative description for this contract.
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