D.2 Reference Contract Worksheet

Attachment D.2 – Reference Contract Worksheet Sober Living Transitional Housing Services to Veterans in Community-based Facilities for Offeror’s Response to Factor 1 – Experience The legal name of entity with whom the Offeror
held the contract

(examples: Molina Healthcare, VA Long Beach Healthcare system, Dallas Memorial Hospital)

Contract Number
Whether the contract was for Sober Living
Transitional Housing services to Veterans in
community-based facilities.

A description providing details of the specific tasks
the Offeror performed under that contract.

In what geographic location the Offeror performed
these services.

(example: Los Angeles, CA and Dallas, TX)

The dates during which the Offeror performed the
contract.

The number of patients to whom the Offeror
provided Sober Living Transitional Housing
services to Veterans in community-based facilities.
Whether the Offeror was the prime contractor or
a subcontractor for that contract.

The name, phone number, and email address of a
person at the entity with whom the Offeror held
the contract who can verify the information the
Offeror provides in the narrative description for
this factor.

Note: The information that is requested above is required for the Government to evaluate proposals for the Experience evaluation factor. General statements claiming experience providing HCHV transitional housing and supportive services to Veterans in community-based facilities that do not include specific references to prior contract work, or that do not include the information required above, are not

acceptable. FAILURE TO SUBMIT THE INFORMATION REQUIRED ABOVE TO SUPPORT

THE OFFEROR’S CLAIMED EXPERIENCE MAY BE VIEWED BY THE GOVERNMENT AS

EVIDENCE THAT THE OFFEROR LACKS EXPERIENCE PROVIDING HCHV

TRANSITIONAL HOUSING AND SUPPORTIVE SERVICES TO VETERANS IN COMMUNITYBASED FACILITIES WHEN EVALUATING PROPOSALS FOR THE EXPERIENCE EVALUATION FACTOR.