36C24720R0049-007.docx

PAST PERFORMANCE REFERENCE INFORMATION

Offeror shall complete the listing of past performance references below, including at least three businesses or medical facilities of similar size and scope to this solicitation, that have purchased the offered services in the past three years. References listed must be familiar with the contract and able to answer questions about performance and adherence to requirements. The offeror is responsible for ensuring contact information for all past performance references is the most recent and valid information available.

For each past performance reference identified below, the offeror shall include the following information:

1. Contract Number

1. Contract Value

1. Period of Performance

1. Name of agency or company contract was with

1. Current Point of Contact (including: name, title or position, phone number, and email address) who can provide performance feedback information

1. Brief description of the contract demonstrating the relevance in scope to this requirement

Reference 1:

Contract Number

Contract Value

Period of Performance

Name of Agency/Company

Current Point of Contact

Name

Title/Position

Phone Number

Email Address

Brief Description of Contract

Reference 2:

Contract Number

Contract Value

Period of Performance

Name of Agency/Company

Current Point of Contact

Name

Title/Position

Phone Number

Email Address

Brief Description of Contract

Reference 3:

Contract Number

Contract Value

Period of Performance

Name of Agency/Company

Current Point of Contact

Name

Title/Position

Phone Number

Email Address

Brief Description of Contract