S02 D.3 Experience Worksheet 36C25725Q0072.docx
DOCX document 24 KB Posted
- Attached to
- 36C25725Q0072 Virtual Pharmacy Service
- Solicitation number
- 36C25725Q0072_2
About this file
This is an Experience Worksheet template for solicitation 36C25725Q0072 from the Department of Veterans Affairs for Virtual Pharmacy Services. The worksheet requires quoters to provide details about their past performance on similar contracts within the last three years, specifically for Virtual Pharmacy Services.
The worksheet asks contractors to document: the legal name of the entity that held the contract/BPA/task order, whether the work was for federal/state/local government or private agency, contract numbers, description of specific virtual pharmacy tasks performed, geographic location of service delivery, performance dates, role as prime or subcontractor, and contact information for a reference who can verify the provided information. This document is associated with a pre-solicitation notice for Virtual After Hours Pharmacy Service in Amarillo, TX for the Veterans Integrated Service Network 17.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
36C25725Q0072
D.2 Experience Contract Worksheet Experience Contract #_______________
The legal name of entity with whom the Quoter held the contract/BPA/task order for Virtual Pharmacy Services. Was the contract/BPA/task order with a Federal, State, local government, or private agency under which you have provided the same or similar services required in this solicitation within the last three (3) years.
(example: Veterans Affairs, LA City Department of Public Health) Federal/State/Local Government or Private Agency
The contract/BPA/task order number
Whether the contract/BPA/task order was for Virtual Pharmacy Services.
A description providing details of the specific tasks the Quoter performed under that Virtual Pharmacy Order
| In what geographic location the Offeror (or Offeror’s proposed subcontractor) performed these services |
| (example: Los Angeles county, New York City) |
The dates during which the Offeror (or Offeror’s proposed subcontractor) performed the contract
Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract.
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held this contract who can verify the information the Offeror provides in the narrative description for this contract.
Page 1 of
File details come from the government source that posted it. Updated .