S02 D.6 Experience Worksheet.docx
DOCX document 24 KB Posted
- Solicitation number
- 36C25725Q0281
About this file
This is an Experience Contract Worksheet template that accompanies RFQ 36C25725Q0003 for temporary shelter and supportive services for homeless veterans in El Paso, TX, issued by the Department of Veterans Affairs VHA VISN 17.
The worksheet requires offerors to document their experience providing transitional housing and/or supportive services to homeless populations. Key information to be provided includes: contract numbers, type of services delivered (transitional housing and/or supportive services), detailed description of tasks performed, geographic location of service delivery, contract performance dates, average monthly number of homeless persons served, whether the experience is from the prime or subcontractor, and contact information for reference verification. The worksheet appears designed to evaluate bidders' relevant past performance and capability to deliver homeless veteran support services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C25725Q0281 0001.docx | DOCX document | |
| S02 D.5 Organizational Conflicts of Interest.docx | DOCX document | |
| S02 D.2 WD 2015-5229 Rev 25 dated12-23-2024.pdf | ||
| 36C25725Q0281.docx | DOCX document | |
| S02 D.3 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.1 Quality Assurance Surveillance Plan QASP 36C25725Q0003.docx | DOCX document | |
| S02 D.4 Contractor Certification - Immigration and Nationality Act.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFQ 36C25725Q0003
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 Transitional Housing or supportive services, or both, to people experiencing homelessness.
Transitional Housing Services (Yes / No) Supportive 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 transitional housing or supportive services, or both, under this contract. |
| Transitional housing services were provided to __________ people experiencing homelessness on average per month |
Supportive 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.
Page 1 of
File details come from the government source that posted it. Updated .