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ATTACHMENT E PAST PERFORMANCE REFERENCES NX EQ Ultrasonic Aspirator System Tissue Ablation

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A Word document (26 KB) attached to NX EQ Ultrasonic Aspirator System: Tissue Ablation (VA-27-00010132), from the Department of Veterans Affairs. Due Dec 1, 2026, 10:00 AM (UTC-5).

File name: ATTACHMENT E_PAST PERFORMANCE REFERENCES_NX EQ Ultrasonic Aspirator System Tissue Ablation.docx

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☐ 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 Completed:
☐ Yes ☐ No

Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.] [Description of Requirement Continued]

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 report for this reference are to be addressed.] Past Performance Reference # 2

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 Completed:
☐ Yes ☐ No

Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.] [Description of Requirement Continued]

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 report for this reference are to be addressed.] Past Performance Reference # 3

OFFEROR NAME:

COMPANY who performed this work:

Relationship to offeror:

☐ OFFEROR ☐ SUBCONTRACTOR

Role on the Contract:

☐ PRIME ☐ SUBCONTRACTOR

Name of Contracting Organization:

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