36C25619Q0621-002.docx

DOCX document 22 KB Posted

Attached to
LEICA MICROSYSTEMS Service Contract Federal contract opportunity
Solicitation number
36C25619Q0621
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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36C25619Q0621 S02 Relevant Experience Form Attachment 1.docx

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36C25619Q0621-004.pdf PDF
36C25619Q0621-000.docx DOCX document
36C25619Q0621-001.pdf PDF
36C25619Q0621-003.docx DOCX document

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Relevant Experience Form.

Please list your contracts in the chronological order beginning with the most recent one. Contracts shall be relevant to the Solicitation. Contracts listed cannot be more than 10 years old. You can list ongoing contracts that began more than 10 years ago.

Contract #1

1.Customer Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Attachment 1: 36C25619Q0621

Contract #2

1.Customer Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #3

1.Customer Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

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