SOW Attachment G-Past Performance.docx
DOCX document 20 KB Posted
- Attached to
- VISN 4 Blood Gas Testing BPA
- Solicitation number
- 36C24425Q0010
About this file
This document is a Past Performance Reference form for Solicitation 36C24425Q0010 for a VISN 4 Blood Gas Testing Blanket Purchase Agreement (BPA). The form requests information about the offeror's past performance, including the company name, contract details, role, performance description, and any issues or corrective actions. The solicitation is for the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 4 to establish a BPA for blood gas testing services for all patients throughout the VISN, in accordance with the attached Statement of Work. The solicitation does not provide any record of relevant or recent past performance for the offeror.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24425Q0010-1_RFQ VISN4 Blood Gas Testing.pdf | ||
| Attachment H-Wage Determinations.txt | TXT text file | |
| SOW Attachments (ABCDE).xlsx | XLSX spreadsheet | |
| Attachment F Price Schedule.docx | DOCX document | |
| SOW Blood Gas Instrumentation Firm Fixed.pdf | ||
| 36C24425Q0010_RFQ VISN4 Blood Gas Testing.pdf |
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Text version
36C24425Q0010
ATTACHMENT G: PAST PERFORMANCE REFERENCE
VISN 4 Blood Gas Testing BPA
SOLICITATION: 36C24425Q0010
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to Offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance(including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
File details come from the government source that posted it. Updated .