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This document contains a past performance reference template and information on an upcoming federal contract opportunity for waste and refuse collection services. The template lists three past performance references and requests contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and brief description of services provided for each. The related federal contract opportunity is a presolicitation notice for waste and refuse collection and disposal services for the Gulf Coast Veterans Health Care System in Biloxi, Mississippi. The solicitation number is 36C25620Q0603 and it is set aside for Service-Disabled Veteran Owned Small Businesses. Interested parties must be registered in SAM, VetBiz if applicable, and Vet 4212 if applicable. The agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.

The presolicitation notice provides details on the requirement and registration requirements for interested parties to be eligible for award. The template requests relevant past performance references.

36C25620Q0603 ATTACHMENT 5 - LIST OF PAST PERFORMANCE REFERENCES.docx

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36C25620Q0603 A0003.docx DOCX document
36C25620Q0603 Rev 06-17-2020.pdf PDF
36C25620Q0603 Rev 06-02-2020.pdf PDF
S06 36C25620Q0603 A0002.pdf PDF
36C25620Q0603 0001.docx DOCX document
36C25620Q0603 Rev 5-26-20.pdf PDF
36C25620Q0603-005.txt TXT text file
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36C25620Q0603-001.docx DOCX document
36C25620Q0603-004.txt TXT text file
36C25620Q0603-009.docx DOCX document
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ATTACHMENT 5 – LIST OF PAST PERFORMANCE REFERENCES

36C25620Q0603

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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