36C24420Q0317-002.docx

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S209--Scrubs Service Lebanon VA Medical Center
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36C24420Q0317
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36C24420Q0317 Past Performance Eval Template (1).docx

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WILMINGTON VA MEDICAL CENTER

GRILLES, REGISTER, AND DIFFUSER (GRD) CLEANING SERVICE

PAST PERFORMANCE EVALUATION

1. (vendor name):

Contacted (name) with the department of (name) on (date). The following information was provided… (name) was/was not satisfied and would/would not recommend. Please be as detailed as possible.

2. Same for every vendor

(sign)

Last, First Name Title

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