36C24118Q9162-004.xlsx

XLSX spreadsheet 16 KB Posted Jul 20, 2018

Attached to: Safe Haven Beds Federal contract opportunity
Solicitation number: 36C24118Q9162
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

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36C24118Q9162 RFQ Attachment 3 Past Performance Worksheet.xlsx

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical 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:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical 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:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical 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:

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