S02 EXHIBIT B Past Performance Reference Form.docx
DOCX document 21 KB Posted
- Solicitation number
- 36C26025R0053
About this file
The document is a Past Performance Reference Form for Solicitation Number 36C26025R0053, a Department of Veterans Affairs project for installing a sprinkler and water main connection to Building 16. The form provides a template for contractors to submit past performance references when government databases like CPARS do not contain sufficient information, allowing the VA to contact references directly to verify a contractor's performance history.
The form requests comprehensive contact information including company name, address, point of contact, phone number, email, project title, contract period, contract number, contract value, and requires the contractor to specify their role (Prime Contractor or Sub-contractor/Key Personnel). This template enables the VA to conduct thorough due diligence on potential contractors' previous project experiences and performance capabilities for the specific water main and sprinkler installation project at the Veterans Health Administration facility.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26025R0053 Site Walk Sign-In Sheet.pdf | ||
| 36C26025R0053 0001.docx | DOCX document | |
| 663A4-22-202 Install Sprinkler RFI and Responses 05.20.2025.docx | DOCX document | |
| Asbestos Report VA American Lake Bldg 16.pdf | ||
| LBP Inspection Bldg 16 Final Report 2009.pdf | ||
| 663A4-22-202 Drawings.pdf | ||
| S02 EXHIBIT A Project Information Sheet for Contractors.pdf | ||
| 36C26025R0053.docx | DOCX document | |
| 663A4-22-202 Specifications.pdf | ||
| WA20250111 03-21-2025.pdf | ||
| Additional Requirements for Asbestos-lead.docx | DOCX document | |
| Site Walk Map 36C26025R0053.pdf | ||
| SOW Construction 663A4-22-202 rev1.docx | DOCX document |
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Text version
EXHIBIT B – PAST PERFORMANCE REFERENCE FORM
PAST PERFORMANCE REFERENCE FORM: 36C26025R0053 Sprinkler and Water Main Connection to Bldg 16
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):
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 .