This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in FAR 12.603, as supplemented by the current Federal Acquisition Circular (FAC 2026 01) and the Department of Veterans Affairs Acquisition Regulation (VAAR). This announcement constitutes the only solicitation; quotes are being requested and a separate written solicitation will not be issued.
This acquisition is 100% set aside for verified SDVOSBs in accordance with VAAR 852.219 73. Offerors must be listed as Verified in the SBA Veteran Small Business Certification (VetCert) database both at the time of quote submission and at the time of award.
The associated North American Industrial Classification System (NAICS) code for this procurement is 238220, with a small business size standard of $19 million.
The FSC/PSC is J045.
The VA Connecticut Healthcare System requires a contractor to remove and replace two damaged fan coil units in Buildings B 1 and B 2, providing all necessary labor, materials, equipment, and supervision to install new units and complete related chilled water, steam, electrical, and valve work. The contractor must coordinate with VA Electrical, HVAC, and Utilities personnel; manage required system shutdowns; protect existing equipment; and perform asbestos abatement, including glove bag removal and reinsulating where applicable as outlined in the following Statement of Work:
STATEMENT OF WORK
FAN COIL UNIT REPLACEMENT B-1 and B-2
VA CONNECTICUT HEALTHCARE SYSTEM (VACHS)
VA MEDICAL CENTER WEST HAVEN
950 CAMPBELL AVENUE
WEST HAVEN, CT 06516
BACKGROUND
VA Connecticut Healthcare System has experienced faulty fan coil units within B-1 and B-2 from separate pipe freezing incidents. The locations of which include room 1171 within B-1 and room 3126B within B-2.
JUSTIFICATION
The fan coil units are in disrepair and require removal and replacement. The damaged fan coil units have affected the cooling of the spaces that they serve and adjoining spaces.
PLACE OF PERFORMANCE
The place of performance for this contract is VA Connecticut Healthcare System, West Haven VA Medical Center located at 950 Campbell Avenue, West Haven
PERIOD OF PERFORMANCE
The Contract Time Period of Performance will be 30 days upon contract award and Notice to Proceed (NTP).
QUALIFICATIONS
To be considered eligible for consideration, potential bidders shall have a field service representative located within 100 miles of the West Haven Campus of the VA Connecticut Healthcare System. Service Provider acting as a Prime with subcontracted labor shall meet this requirement.
Bidders shall provide upon request, documentation of certification/training on the specific equipment under the terms of this contract.
Bidders shall be qualified to perform work on steam/chilled water distribution systems, HVAC/fan coils, electrical and have completed prior similar work and/or inspection projects for VA Connecticut Healthcare System.
Service Provider shall have a minimum of three (3) years of related scope and work experience with commercial fan coil component installation and repairs as well as all aspects of inspections, cleaning, calibration, and testing in compliance with and clear understanding of relevant codes and regulations.
Service Provider and/or assigned project staff members shall have industry standard certifications and qualifications to include but not limited to current OSHA 30 and OSHA 10 certification and equivalent qualifications associated with requirements herein.
Service Provider shall submit documentation of technical training and certifications for personnel performing all work under the terms of this contract for review and acceptance prior to the start of work on site.
Bidders shall be evaluated on past performance, technical capability, and financial capability to perform the requirements of this work.
Bidders shall perform a mandatory pre-bid walkthrough at 9:30 a.m. on Wednesday June 10, 2026, at VA Medical Center West Haven located at 950 Campbell Avenue, West Haven, CT 06516. Meet at Building 15 and obtain a temporary badge and complete a sign-in sheet.
SCOPE OF WORK
The Service Provider shall furnish all labor, materials, equipment, tools, supervision, and all incidentals to complete work for the services described in this document.
The Service Provider shall submit a project schedule, work procedures, inspection procedures, testing procedures, all safety documentation, weld procedures, welders certifications, etc. for review and approval by VA Contracting Officer Representative and Safety Office before the start of work on site.
Fan Coil unit within rm 1171 of B-1 is electrically supplied from rm 1161 electrical closet and is on PAC 4-11 within the PAC panel. The Service Provider shall coordinate electrical disconnection and reconnection with the VA Electrical Shop in the manner of previous placement completed with FCU s within 1172, 1174 and 1175 . The Service Provider shall provide the VA with ~120 of (2312 CU or 1#12G CU) of wire for purpose of grounding by VA. (Coordinate with Electric Shop of type desired through COR.) The Service Provider shall provide similar model of size and capabilities that support rm 1172. This unit supports chilled water only. Service Provider shall provide new valves to support isolation at the fan coil unit.
Fan Coil unit within rm 3126B of B-2 is electrically supplied from rm 3124 electrical closet and is on PAC 38-9 within the PAC panel. The Service Provider shall coordinate electrical disconnection and reconnection with the VA Electrical Shop. The Service Provider shall provide the VA with ~120 of (2312 CU or 1#12G CU) of wire for purpose of grounding by VA. (Coordinate with Electric Shop of type desired through COR.) The Service Provider shall provide similar model of size and capabilities that support rm 3126A. This unit supports existing steam and chilled water. Service Provider shall provide new valves to support each function to support isolation at the fan coil unit.
Description of Services:
The project will include but not be limited to the following:
Service Provider shall schedule and coordinate all work with VA COR, Utilities Supervisor, Electric Shop and HVAC Shop Supervisors.
All LOTO request and procedures shall be in compliance with the VA Connecticut Healthcare System Medical Center Policy 138-075.
Coordinate any Hot Work permit requests with VA Connecticut Healthcare System Safety Service.
Service Provider shall investigate with VA COR, Utilities Supervisor, and associated shops to determine isolation of fan coils can be localized or require a full system reduction to support replacements. Localized shutdown shall be determined as branch or floor shutdown to support. Full system reduction shall be determined as reducing the building s system of fluid to support. If it is the latter, coordination shall be required to determine the least impactful period to perform.
Coordinate all placement and removal of Lock Out Tag Out devices for any energy sources with the VA COR/Maintenance & Operations.
Protect all equipment in place during replacement activities.
Service Provider shall arrange an abatement contractor to remove asbestos containing material (ACM) at the area of the fan coil unit. It has been determined that based upon the model and age of the fan coil units, they traditionally contain ACM within.
Service provider shall arrange an Industrial Hygienist as required to perform required abatement management for the project, background air sampling, and project air clearance. This VPIH shall be separate from that provided by the abatement subcontractors.
Abate/remove approximately 3-4 FT of potential ACM through method of glove bag of existing insulation from piping to access chilled water piping components if identified as not fiberglass or foam. This material shall be within the workspace that may affect the removal or replacement of each fan coil unit. This material may be pipe insulation within the wall between the unit and the spaces outside of the room itself.
Reinsulate approximately area of removed insulation and new chilled water piping.
Remove damaged chilled water piping and associated elbow and fitting(s) as required to correct existing leak(s).
Furnish and install new chilled water piping and associated elbows, fittings, and other components required to complete this work.
Service Provider shall perform an inspection report of all repairs, corrections, and testing with photographs and other documentation necessary to confirm information within the report.
SUBMITTALS/DELIVERABLES
Service Provider shall furnish disposal manifest for ACM removed with quantities, disposal chain of custody, and final destination of disposal within 30 calendar days after work is completed.
Service provider shall furnish all submittal item documentations (with final dispositions) and final documentation report with all tests, photos, corrections made within 14 business days after work is completed.
Service provider shall furnish all material certifications for any replacement parts used.
Service provider shall furnish a waste manifest as required.
Minimum warranty of one year on all parts, labor, workmanship, and equipment shall be furnished.
SPECIAL INSTRUCTIONS
Service Provider Check-in: All employees of the service provider shall comply with VA Security Management Program and obtain permission of the VA Police and restricted from unauthorized access. Upon arrival, the Service Provider shall sign-in at Building 15 in West Haven and receive a temporary identification badge prior to performing services at VA Connecticut Healthcare System. The Service Provider shall wear visible identification always displaying the name and company ID while on site. All site visits shall be coordinated with the VA COR or assigned POC.
Per Directive 1805, smoking, vaping, and smokeless tobacco are prohibited on the grounds of VA facilities, including in vehicles. This Directive applies to all Service providers and their employees.
No photography of VA premises is allowed without written permission of the contracting officer. Patients and staff are not to be photographed at any time.
Parking for Service provider and employees shall be in designated areas only. Service provider shall coordinate with VA COR.
The Service provider shall confine all operations (including storage of materials) on government premises to areas authorized or approved by the VA Contracting Officer. The Service provider shall confine all operations (including storage of materials) on government premises to areas authorized or approved by the VA Contracting Officer. The Service provider shall hold and save the government, its officers, and agents, free and harmless from liability of any nature occasioned by the Service provider s performance. Working space and space available for storing materials shall be as determined by the COR. Workers are subject to the rules of the Medical Center applicable to their conduct. Execute work in such a manner as to reduce impacts with work being done by others.
Billing: Provide COR with a report or statement of work completed and include statements with request for payment. Statement should include service completed and the date each service item was completed. Labor charges shall be billed hurly, and any unused labor totals will be credited back to the VA Medical Center on the next billing cycle, upon receipt of the service report.
Safety Codes / Certification / Licensing:
Environmental abatement work, if necessary, is to be performed by Service Provider under supervision and monitoring for the VA by a Certified Industrial Hygienist. If suspected ACM, reach out immediate to the VA Contracting Officer and Contracting Officer Representative.
The Service Provider shall comply with all codes as described above, as well as codes customarily applied in VA construction jobs such as NFPA fire code, OSHA, VA Design Guides, etc. Labs used by the Service Provider shall be licensed as required by any applicable governing agencies, and their certifications and licenses shall be included in the reports.
Travel:
Service Provider and/or subcontractors will travel from their place of business to the West Haven Medical Center of the VA Connecticut Healthcare System.
NARA Records Management Requirements
The following standard items relate to records generated in executing this contract:
Citations to pertinent laws, codes and regulations such as 44 U.S.C. Chapter 21, 29, 31, and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.
Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.
Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.
Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.
The Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.
The Government Agency owns the rights to all data/records produced as part of this contract.
The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. The Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.
The Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].
No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage, or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.
The Contractor is required to obtain the Contracting Officer s approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under or relating to this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.
See attached Appendices
END OF STATEMENT OF WORK
The following solicitation provisions apply to this acquisition:
FAR 52.212-1, Instructions to Offerors Commercial Products and Commercial Services (DEVIATION AUG 2025)
FAR 52.212-2 Evaluation-Commercial Products and Commercial Services [In accordance with FAR 12.301(c) when the use of evaluation factors is appropriate, the contracting officer may (1) Insert the provision at 52.212-2, Evaluation-Commercial Products and Commercial Services, in solicitations for commercial products or commercial services (see 12.602); or (2) Include a similar provision containing all evaluation factors required by 13.106, subpart 14.2 or subpart 15.3, as an addendum (see 12.302(d)).]
FAR 52.212-3, Offerors Representations and Certifications Commercial Products and Commercial Services
Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://sam.gov/ in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Products and Commercial Services. If paragraph (j) of the provision is applicable, a written submission is required.
As prescribed in 852.102(a), insert the following provision:
Solicitation Provisions or Clauses Incorporated by Reference (JAN 2008)
The following provisions or clauses incorporated by reference in this solicitation must be completed by the offeror or prospective contractor and submitted with the quotation or offer. Copies of these provisions or clauses are available on the Internet at the Web sites provided in the provision at FAR 52.252-1, Solicitation Provisions Incorporated by Reference, or the clause at FAR 52.252-2, Clauses Incorporated by Reference. Copies may also be obtained from the contracting officer.
[Contracting officer shall list all FAR and 48 CFR Chapter 8 (VAAR) provisions and clauses incorporated by reference that must be completed by the offeror or prospective contractor and submitted with the quotation or offer.]
(End of provision)
852.219-76 VA Notice of Limitations on Subcontracting Certificate of Compliance for Supplies and Products (JAN 2023) (DEVIATION)
As prescribed in 819.7011(c), insert the following clause. The contracting officer shall tailor the clause in paragraph (a)(2)(iii) as appropriate:
(iii) The offeror certifies that it will supply the end item of a small business manufacturer, processor, or producer made in the United States, unless a waiver as provided in 13 CFR 121.406(b)(5) has been issued by SBA.
Certification
I hereby certify that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror].
Printed Name of Signee:
Printed Title of Signee:
Signature:
Date:
Company Name and Address:
(End of clause)
Parent topic:Â Subpart 852.2 - Text of Provisions and Clauses
6. FAR 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS (APR 2026)
(a) Definitions. As used in this clause
Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.
Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.
(b) In connection with the performance of work under this contract, the Contractor agrees as follows:
(1) The Contractor will not engage in any racially discriminatory DEI activities;
(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;
(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;
(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and
(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.
(6) The Contractor recognizes that compliance with the requirements
of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).
(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.
(End of clause)
52.252-2 Clauses Incorporated by Reference (FEB 1998).
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):
https://www.acquisition.gov/browse/index/far.
The following contract clauses apply to this acquisition:
52.203-11 C and D Regarding Payments to Influence Certain Federal Transactions. (SEP 2024)
52.203-18 Prohibition on Contracting with Entities (JAN 2018)
52.204-7 System for Award Management Registration (DEVIATION NOV 2025).
852.203 70 Commercial Advertising (MAY 2018)
852.204-70 Personal Identity Verification of Contractor Personnel (DEVIATION MAY 2020).
852.204 72 VA Personnel Security & Credentialing (DEVIATED)
52.209-10 Prohibition on Contracting with Inverted Domestic Corporations. (DEVIATION NOV 2025).
52.219-14 Limitations on Subcontracting (OCT 2022).
52.233-3 Protest after Award (DEVIATION NOV 2025).
52.233-4 Applicable Law for Breach of Contract Claim (DEVIATION NOV 2025).
52.244-6 Subcontracts for Commercial Products and Commercial Services. (DEVIATION NOV 2025).
852.219-73 VA Notice to Total Set-Aside for Certified Service-Disabled Veteran-Owned Small Businesses (JAN 2023) (DEVIATION)
852.232-72 Electronic Submission of Payment Requests (NOV 2018)
852.246-71 Rejected Goods (OCT 2018)
52.212-4 Contract Terms and Conditions Commercial Products and Commercial Services (DEVIATION AUG 2025).
52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Products and Commercial Services (OCT 2025).
The following subparagraphs of FAR 52.212-5 are applicable:
52.203-17 Contractor Employee Whistleblower Rights.(NOV 2023)
52.204-13 System for Award Management-Maintenance (DEVIATION NOV 2025)
52.204-14 Service Contract Reporting Requirements (Oct 2016).
52.219-27, Notice of Set-Aside for, or Sole-Source Award to, Service-Disabled Veteran-Owned Small Business (SDVOSB) Concerns Eligible Under the SDVOSB Program (FEB 2024).
52.222-3 Convict Labor (JUNE 2003).
52.222-21 Prohibition of Segregated Facilities (APR 2015).
52.222-26 Equal Opportunity (SEPT 2016).
52.222-35 Equal Opportunity for Veterans (JUN 2020).
52.222-36 Equal Opportunity for Workers with Disabilities (JUN 2020).
52.222-37 Employment Reports on Veterans (JUN 2020).
52.222-50 Combating Trafficking in Persons (OCT 2025).
52.222-54 Employment Eligibility Verification (JAN 2025).
52.225-1 Buy American-Supplies (OCT 2022).
52.225-13 Restrictions on Certain Foreign Purchases (FEB 2021).
52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (MAY 2024).
52.232-33 Payment by Electronic Funds Transfer-System for Award Management (OCT 2018).
52.242-5 Payments to Small Business Subcontractors (JAN 2017).
52.222-41 Service Contract Labor Standards (AUG 2018).
52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014).
52.222-44, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (MAY 2014).
52.222-50 Combating Trafficking in Persons.(DEVIATION OCT 2025)
52.222-55 Minimum Wages for Contractor Workers Under Executive Order 14026 (JAN 2022).
52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2022).
52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving.(MAY 2024)
52.233-3 Protest after Award.(DEVIATION NOV 2025)
52.233-4 Applicable Law for Breach of Contract Claim.(DEVIATION NOV 2025)
52.203-13 Contractor Code of Business Ethics and Conduct (NOV 2021).
52.203-17 Contractor Employee Whistleblower Rights (NOV 2023).
52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017).
52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (NOV 2021).
52.219-8 Utilization of Small Business Concerns (JAN 2025).
52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998)
52.212-2 Evaluation-Commercial Prods and Commercial Svcs (DEVIATION AUG 2025)
SAM: Interested parties shall be registered in System for Award Management (SAM) as prescribed in FAR Clause 52.232-33. SAM information can be obtained by accessing the internet at www.sam.gov or by calling 1-866-606-8220. Interested parties not registered in SAM in sufficient time to meet the VA s requirement will be ineligible to receive a government contract. This determination will be at the discretion of the Contracting Officer.
System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications Commercial Products and Commercial Services.
The VA utilizes VISTA to issue a purchase order and liquidate invoices. Failure to register in VISTA may result in exclusion from the issuance of a VA contract. This determination will be at the discretion of the Contracting Officer. Interested parties with no prior VA contracts can apply here: https://www.cep.fsc.va.gov/
Instructions to Offerors:
All quoters shall submit the following:
1. Technical Proposal
Evidence of OEM training/certifications
Description of PM approach and compliance with SOW
Emergency response capability
Safety/LOTO/PPE/infection control plans
Parts sourcing plan confirming OEM only materials
2. Past Performance
At least three recent/relevant contracts of similar scope
3. Price Proposal
Completed pricing for all base and option CLINs
Confirmation of SDVOSB status via VetCert
4. SAM Registration & Reps/Certs
Active SAM registration required
Complete 52.212 3 or confirm online SAM status
The following are the decision factors:
Evaluation will be conducted under FAR 12.602:
Technical (most important)
Past Performance
Price
Technical and past performance, combined, are more important than price. Award may be made without discussions.
The award will be made to the response most advantageous to the Government.
Responses should contain your best terms and conditions.
To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows:
"The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition."
OR
"The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:"
Quoters shall list exception(s) and rationale for the exception(s), if any.
Questions shall be submitted to the Contracting Officer in writing via e-mail. Oral questions are not acceptable due to the possibility of misunderstanding or misinterpretation. The cut-off date and time for receipt of questions is 12-JUN-2026 by 4:00 PM EST. Questions received after this date and time may not be answered. Questions shall be answered in a formal amendment to the solicitation so all interested parties can see the answers.
Submission of your response shall be received not later than 17-JUN-2026 by 4pm. RFQ responses must be submitted via email to: juliette.buchanan@va.gov. Hand deliveries shall not be accepted.
Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f).
Point of Contact
Juliette Buchanan
Juliette.Buchanan@va.gov
ATTACHMENT 1
PRICE SCHEDULE
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
B-1 New FCU
Cooling only
1
EA
$___________
$____________
0002
B-2 New FCU
Cool and Heat
1
EA
$___________
$____________
0003
Demolition/Abatement
Including VPIH
(Firm-Fixed Price)
2
JB
$___________
$____________
0004
Miscellaneous Trade
(i.e. Electrical, Plumbing)
2
JB
$___________
$____________
GRAND TOTAL
$_________________
ATTACHMENT 2
PAST PERFORMANCE WORKSHEET
1. Name of Contracting Activity, Government Agency, Commercial Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:
4. Date of Contract Award:
5. Beginning Date of Contract:
6. Completion Date of Contract:
7. Contract Value:
8. Type of Contract:
9a. Technical Point of Contact:
9b. Contracting Point of Contact:
Name:
Name:
Title:
Title:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:
PAST PERFORMANCE WORKSHEET
1. Name of Contracting Activity, Government Agency, Commercial Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:
4. Date of Contract Award:
5. Beginning Date of Contract:
6. Completion Date of Contract:
7. Contract Value:
8. Type of Contract:
9a. Technical Point of Contact:
9b. Contracting Point of Contact:
Name:
Name:
Title:
Title:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:
PAST PERFORMANCE WORKSHEET
1. Name of Contracting Activity, Government Agency, Commercial Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:
4. Date of Contract Award:
5. Beginning Date of Contract:
6. Completion Date of Contract:
7. Contract Value:
8. Type of Contract:
9a. Technical Point of Contact:
9b. Contracting Point of Contact:
Name:
Name:
Title:
Title:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:
