ATT D4 PAST PERFORMANCE REFERENCES.docx

DOCX document 17 KB Posted

Attached to
Q515--Urgent Contract Staffing Pathologist Federal contract opportunity
Solicitation number
36C25622Q0570
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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Other files attached to Q515--Urgent Contract Staffing Pathologist, newest first.
File Type Posted
ADDENDUM to 52.212-2 EVAL.docx DOCX document
36C25622Q0570 0002.docx DOCX document
ATT D5 PAST PERFORMANCE QUESTIONNAIRE.docx DOCX document
ADDENDUM to FAR 52.212-1 instructions.docx DOCX document
36C25622Q0570 0001.docx DOCX document
ATT D3 CONTRACTOR CERTIFICATION IMM.docx DOCX document
36C25622Q0570.docx DOCX document
ATT D2 KEY PERSONNEL.docx DOCX document
ATT D1 QASP Pathologist - Contract Staff.docx DOCX document

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Attachment D4

PAST PERFORMANCE REFERENCES

REFERENCE 1:

Name of Government or Commercial Organization:______________________________ Address:_________________________________ Contract Number:______________________________ Brief Description:_________________________________________________________ Contractor Performed as: |_|Prime Contractor |_|Sub-Contractor Dates of Performance (if current include expiration):____________________ Total Cost of Contract:__________________Award/Incentive/Deduction_____________ Any terminations for cause or default? Circle YES or NO If yes, brief explanation:___________________________ Point Of Contact/COR:____________________________ Title:___________________________________ Telephone Number:____________________________ Point of Contact’s email address:______________________ Comments:_____________________________________________________________________________________________________________________________________

REFERENCE 2:

Name of Government or Commercial Organization:______________________________ Address:_________________________________ Contract Number:______________________________ Brief Description:_________________________________________________________ Contractor Performed as: |_|Prime Contractor |_|Sub-Contractor Dates of Performance (if current include expiration):____________________ Total Cost of Contract:__________________Award/Incentive/Deduction_____________ Any terminations for cause or default? Circle YES or NO If yes, brief explanation:___________________________ Point Of Contact/COR:____________________________ Title:___________________________________ Telephone Number:____________________________ Point of Contact’s email address:______________________ Comments:_____________________________________________________________________________________________________________________________________

REFERENCE 3:

Name of Government or Commercial Organization:______________________________ Address:_________________________________ Contract Number:______________________________ Brief Description:_________________________________________________________ Contractor Performed as: |_|Prime Contractor |_|Sub-Contractor Dates of Performance (if current include expiration):____________________ Total Cost of Contract:__________________Award/Incentive/Deduction_____________ Any terminations for cause or default? Circle YES or NO If yes, brief explanation:___________________________ Point Of Contact/COR:____________________________ Title:___________________________________ Telephone Number:____________________________ Point of Contact’s email address:______________________ Comments:_____________________________________________________________________________________________________________________________________

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