Attachment 3-Past Performance information.docx
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- NCO 4 West DME Services Federal contract opportunity
- Solicitation number
- 36C24420Q0939
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ATTACHMENT #3
PAST PERFORMANCE
Complete the following past performance information for your Department of Veterans Affairs (VA) customers. Past Performance information submitted should be for VA Medical Centers that have procured services in the past year. If your company has not sold services to VA(s), include information for customers. First, provide information for any VA(s), then, information for sales to other federal government facilities (Department of Defense, Public Health, Bureau of Prisons, etc.), then, commercial customers.
1. Customer Name: __________________________________________________________ Point of Contact: __________________________________________________________ Phone Number: __________________________________________________________ Service(s) Provided: __________________________________________________________
2. Customer Name: __________________________________________________________ Point of Contact: __________________________________________________________ Phone Number: __________________________________________________________ Service(s) Provided: __________________________________________________________
3. Customer Name: __________________________________________________________ Point of Contact: __________________________________________________________ Phone Number: __________________________________________________________ Service(s) Provided: __________________________________________________________
4. Customer Name: __________________________________________________________ Point of Contact: __________________________________________________________ Phone Number: __________________________________________________________ Service(s) Provided: __________________________________________________________
5. Customer Name: __________________________________________________________ Point of Contact: __________________________________________________________ Phone Number: __________________________________________________________ Service(s) Provided: __________________________________________________________
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