S02 D.6 Experience Worksheet.docx
DOCX document 24 KB Posted
- Solicitation number
- 36C25725Q0073
About this file
The document is an Experience Worksheet for Request for Quote (RFQ) 36C25725Q0073, designed to capture detailed information about an offeror's prior contract experience in providing transitional housing and supportive services to individuals experiencing homelessness. The worksheet requires comprehensive documentation including contract details, geographic service location, service dates, average monthly service recipients, contract type (prime or subcontractor), and a reference contact for verification.
Specifically, the worksheet is structured to collect key performance data such as the legal name of the contracting entity, contract number, types of services provided (transitional housing or supportive services), specific tasks performed, geographic service area, contract duration, average monthly service volume, and contact information for reference verification. This document appears to be part of a solicitation by the Department of Veterans Affairs Veterans Health Administration for an Emergency Residential Placement project in Big Spring, TX, estimating 4 beds per day, and is intended to help evaluate potential offerors' previous experience in providing housing and support services.
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Other files
| File | Type | Posted |
|---|---|---|
| WD 2015-5269 Rev 28 dated 5.15.2025.pdf | ||
| 36C25725Q0073 0005.docx | DOCX document | |
| 36C25725Q0073 0004.docx | DOCX document | |
| 36C25725Q0073 0003.docx | DOCX document | |
| 36C25725Q0073 0002.docx | DOCX document | |
| 36C25725Q0073 0001.docx | DOCX document | |
| S02 D.2 Facility Inspection - Wood Group.pdf | ||
| S02 D.1 Qualitiy Assurance Surveillance Plan .docx | DOCX document | |
| 36C25725Q0073_2.docx | DOCX document | |
| S02 D.5 Organizational Conflicts of Interest.docx | DOCX document | |
| S02 D.8 WD 2015-5269 Rev 27 Dec 2024.pdf | ||
| S02 D.3 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.7 Fillable Schedule of Services.xlsx | XLSX spreadsheet | |
| S02 D.4 Contractor Certification - Immigration and Nationality Act.docx | DOCX document |
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Text version
RFQ 36C25725Q0073
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.
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