S02 EXHIBIT A Past Performance Reference Form.docx

DOCX document 21 KB Posted

Attached to
Z1DA--531-24-104 | Replace HVAC B23-B45 - Construction Federal contract opportunity
Solicitation number
36C26026R0026
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

About this file

This document is a Past Performance Reference Form for Solicitation 36C26026R0026, a VA construction project to replace HVAC systems in buildings B23-B45. The form is designed for offerors to provide reference contact information for projects not already documented in government databases like CPARS, enabling the VA to verify past performance. The form allows contractors to detail project specifics including company information, point of contact, contract period, dollar value, and their role (prime contractor or subcontractor). The related federal contract opportunity indicates this is a construction project valued between $500,000 and $1,000,000, administered by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20.

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Other files for this federal contract opportunity

Other files attached to Z1DA--531-24-104 | Replace HVAC B23-B45 - Construction, newest first.
File Type Posted
36C26026R0026 0001.pdf PDF
Attachment 1.pdf PDF
Attachment 2.pdf PDF
531-24-104 Replace HVAC B23-B45 Final Drawings REV 1.pdf PDF
531-24-104 Replace HVAC B23-B45 Final Specs REV 1.pdf PDF
36C26026R0026 RFP.pdf PDF
531-24-104_Construction-SOW.pdf PDF
WD ID20250104 Building.pdf PDF
852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING.docx DOCX document

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Text version

EXHIBIT A – PAST PERFORMANCE REFERENCE FORM

PAST PERFORMANCE REFERENCE FORM: 36C26026R0026 Replace HVAC B23-B45

INSTRUCTIONS TO OFFEROR

For any projects you are submitting on that do not have Past Performance Information available in Government databases (CPARS, etc) or otherwise, please complete the below in order to provide reference contact information for the VA to reach out to for past performance information.

Company Name

Street Address

Point of Contact (POC)

City

POC Phone Number

State

Reference Project Title

Zip Code

Contract Period of Performance (start to finish):

Email

Contract Number

Contract Dollar Value

Description of Work

Role of Contractor on This Project (check appropriate box)

Prime Contractor Sub-contractor Key Personnel

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