36C25019Q0228-005.docx

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Indianapolis Patient Paratransit Services
Solicitation number
36C25019Q0228
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36C25019Q0228 S02- D.4- Past Performance Contractor References.docx

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ATTACHMENT D.4 PAST PERFORMANCE CONTRACTOR REFERENCES

Offeror must list a minimum of three (3) and a maximum of five (5) past (within the last three (3) years) or current references with specific knowledge of offeror’s past performance similar to the requirements listed in this solicitation.

CONTRACTOR:

Reference 1:

Customer Name:____________________________________
Point of Contact & Email:____________________________________
Phone Number:____________________________________
Purchase Order/Contract #:____________________________________

Brief Description of Services Provided:

Reference 2:

Customer Name:____________________________________
Point of Contact & Email:____________________________________
Phone Number:____________________________________
Purchase Order/Contract #:____________________________________

Reference 3:

Customer Name:____________________________________
Point of Contact & Email:____________________________________
Phone Number:____________________________________
Purchase Order/Contract #:____________________________________

Reference 4:

Customer Name:____________________________________
Point of Contact & Email:____________________________________
Phone Number:____________________________________
Purchase Order/Contract #:____________________________________

Reference 5:

Customer Name:____________________________________
Point of Contact & Email:____________________________________
Phone Number:____________________________________
Purchase Order/Contract #:____________________________________

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