Sources Sought Past Performance Project Data Form.docx
DOCX document 23 KB Posted
- Solicitation number
- 36C26026Q0686
About this file
This is a Past Performance Project Data Form template designed for contractors to document relevant project experience in response to a Sources Sought announcement for maintenance and repair services at Mann-Grandstaff Veterans Affairs Medical Center (MGVAMC) in Spokane, Washington.
The form requires contractors to provide comprehensive project information including firm identification (name, CAGE code, UEI, contact details), role classification (prime contractor, subcontractor, joint venture), and detailed contract specifications such as contract number, government agency, contract type (firm fixed price, cost reimbursement, or other), award date, completion date, and pricing information. Contractors must document the original and final contract prices with explanations of any modifications, rate the complexity level of the work (high, medium, or routine), and most critically, explain the relevance of the project to the MGVAMC SATOC opportunity by detailing similarities in size, scope, complexity, square footage, equipment, and working conditions. This template is intended to support qualification evaluation for the VA's firm-fixed price, Indefinite Delivery/Indefinite Quantity (ID/IQ) contract with a $4,000,000 total capacity and anticipated task orders ranging from $2,000 to $350,000, where the scope encompasses maintenance, repairs, renovations, and minor alterations to VA facilities.
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Other files
| File | Type | Posted |
|---|---|---|
| Sources Sought Contractor Information Form.docx | DOCX document | |
| MGVAMC SATOC Maintenance Repair SOW.docx | DOCX document | |
| 36C26026Q0686.docx | DOCX document |
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Text version
Past Performance Project Data Form
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
| Address: | UEI: |
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Project Description:
Contract Number:
Delivery/Task Order Number (if applicable):
Government Agency/Private Entity:
Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission (i.e., relates the size, scope and complexity requirements for the services described)? (Please provide details such as square footage, similar equipment, requirements, conditions, etc.)
File details come from the government source that posted it. Updated .