36C25619Q1462-004.docx

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586-20-1-043-0001 EMERGENCY- COMPOUNDING OF HAZARDOUS AND HAZARDOUS AGENTS 36C25619AP3483
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36C25619Q1462 ATTACHMENT 3 - LIST OF PAST PERFORMANCE REFERENCES.docx

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ATTACHMENT 3 – LIST OF PAST PERFORMANCE REFERENCES

36C25619Q1462

PAST PERFORMANCE REFERENCES

REFERENCE 1:

Contracting Activity Name: _________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

REFERENCE 2:

Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

REFERENCE 3:

Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

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