S02 EXHIBIT B Past Performance Reference Form.docx

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Attached to
Z2DA--531-25-103 | Bldg 77 Freight Elevator Controller/Motor Modernization
Solicitation number
36C26025R0009
Issued by

About this file

This document is a Past Performance Reference Form for the federal contract opportunity 36C26025R0009 for Bldg 77 Freight Elevator Controller/Motor Modernization. The form collects information about the offeror's past projects, including the company name, point of contact, project title, contract period of performance, contract number, dollar value, and the offeror's role (prime contractor or subcontractor). This information will allow the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 to obtain past performance references for the offeror. The form is a required attachment for the solicitation 36C26025R0009, which is for the modernization of the freight elevator controller and motor at Building 77.

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Text version

EXHIBIT B – PAST PERFORMANCE REFERENCE FORM

PAST PERFORMANCE REFERENCE FORM: 36C26025R0009 Bldg 77 Freight Elevator Controller/Motor Modernization

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 .