ATTACHMENT G - PAST PERFORMANCE REFERENCE NX EQ Image-Guided Surgical Navigation System

ATTACHMENT G: PAST PERFORMANCE REFERENCE

NX EQ Image-Guided Surgical Navigation System

SOLICITATION: 36C10X27R0004

☐ 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.

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/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.

Past Performance Reference # 3

OFFEROR NAME:

COMPANY who performed this work:

Relationship to Offeror:

☐ OFFEROR ☐ SUBCONTRACTOR

Role on the Contract:

☐ PRIME ☐ SUBCONTRACTOR