S02. Attachment D.3 Past Performance References.pdf
PDF 95 KB Posted
- Attached to
- V119--Wheelchair Transportation Services Federal contract opportunity
- Solicitation number
- 36C25625Q0433
About this file
This is a Past Performance References template form (Attachment D.3) requiring contractors to provide details for three past performance references. The form requests comprehensive information for each reference, including the name of the government or commercial organization, address, contract number, brief description of work performed, contractor role (prime or subcontractor), dates of performance, total contract cost including awards/incentives/deductions, any terminations for cause or default, and point of contact information including COR details.
The form is associated with solicitation 36C25625Q0433 for Wheelchair Transportation Services at the Veterans Health Care System of the Ozarks in Fayetteville, AR. It is part of the documentation required for a 100% SDVOSB set-aside procurement with responses due February 21, 2025, at 3PM CST. Each reference form includes fields for comments and explanations, particularly if there were any contract terminations, allowing contractors to provide context for their past performance history.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25625Q0433 0002.docx | DOCX document | |
| 36C25625Q0433 0001_1.docx | DOCX document | |
| S02. Attachment D.1 Final Invoice Memo.pdf | ||
| S02. 36C25625Q0433.pdf | ||
| 36C25625Q0433_1.docx | DOCX document | |
| S02. Attachment D.2 Quality Assurance Surveillance Plan.pdf |
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Text version
ATTACHMENT D.3 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:
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 3:
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:
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