S02. Attachment D.2 Past Performance References.pdf

PDF 55 KB Posted

Attached to
H159--Uninterruptable Power Source (UPS) Service Federal contract opportunity
Solicitation number
36C25625Q0762
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

Attachment D.2 is a Past Performance References form template designed for contractors to provide detailed information about their previous government and commercial contract experiences. The template requires three separate references, with each reference section capturing critical contract details including:

  • Organization name and address
  • Contract number
  • Brief contract description
  • Performance role (Prime or Sub-Contractor)
  • Contract dates and total cost
  • Termination status
  • Point of contact information (name, title, phone, email)
  • Optional comments section

This specific template is associated with Solicitation Number 36C25625Q0762 for Uninterruptable Power Source (UPS) Service, a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside procurement by the Department of Veterans Affairs. Contractors must complete this form to demonstrate their past performance and qualifications when responding to the solicitation.

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Other files for this federal contract opportunity

Other files attached to H159--Uninterruptable Power Source (UPS) Service, newest first.
File Type Posted
36C25625Q0762 0001.pdf PDF
S02. Attachment D.3 Wage Determination.pdf PDF
S02. 36C25625Q0762.pdf PDF
S02. Attachment D.1 Final Invoice Memo.pdf PDF

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Text version

ATTACHMENT D.2 PAST PERFORMANCE REFERENCES

REFERENCE 1:

Name of Government or Commercial Organization:

Address:

Contract Number:

Brief Description:

Contractor Performed as:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

Point of Contact’s email address:

Comments:

REFERENCE 2:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

REFERENCE 3:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

File details come from the government source that posted it. Updated .