36C25219Q0275-001.docx

DOCX document 13 KB Posted

Attached to
Mobile MRI TRAILER Services Federal contract opportunity
Solicitation number
36C25219Q0275
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

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36C25219Q0275 S02 Attachment B - Past Performance References.docx

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ATTACHMENT D - REFERENCES

REFERENCE #1

Agency/Company Name:_______________________________________________________

Address:_____________________________________________________________________

Point of Contact:_____________________ Email:___________________________________

Telephone Number:___________________ Fax Number: ____________________________

Contract Number:_____________________ Contract Period: __________________________

Approximate Dollar Value of Contract: ____________________________________________

REFERENCE #2

Agency/Company Name:______________________________________________________

Address:____________________________________________________________________

Point of Contact:_____________________ Email: __________________________________

Telephone Number:___________________ Fax Number: _____________________________

Contract Number:_____________________ Contract Period: __________________________

Approximate Dollar Value of Contract: ____________________________________________

REFERENCE #3

Agency/Company Name:_______________________________________________________

Address:____________________________________________________________________

Point of Contact:_____________________ Email: __________________________________

Telephone Number:___________________ Fax Number: _____________________________

Contract Number:_____________________ Contract Period: __________________________

Approximate Dollar Value of Contract: __________________________________________

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