36C25918Q0342-002.pdf

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(M) 575 Locum Tenens Respiratory Therapist CS Leigh Nunn (VA-18-00030750)
Solicitation number
36C25918Q0342
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36C25918Q0342 Attachment D.9 - PAST PERFORMANCE REFERENCES.pdf

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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 Value of Contract:__________________________

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:____________________________________________________

Any contract discrepancy reports filed? Circle YES or NO

If yes, brief explanation: ___________________________________________________

Point Of Contact/COR:____________________________

Title:___________________________________

Telephone Number:____________________________

Point of Contact’s email address:______________________

Comments:________________________________________________________________________________

REFERENCE 2:

Contract Number:______________________________

Brief Description:___________________________________________________________________________

Contractor Performed as: Prime Contractor Sub-Contractor

Dates of Performance (if current include expiration):_____________________________

Total Value of Contract:__________________________

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:____________________________________________________

Any contract discrepancy reports filed? Circle YES or NO

If yes, brief explanation: ___________________________________________________

Point Of Contact/COR:____________________________

Title:___________________________________

Telephone Number:____________________________

Point of Contact’s email address:______________________

Comments:________________________________________________________________________________

REFERENCE 3:

Contract Number:______________________________

Brief Description:___________________________________________________________________________

Contractor Performed as: Prime Contractor Sub-Contractor

Dates of Performance (if current include expiration):_____________________________

Total Value of Contract:__________________________

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:____________________________________________________

Any contract discrepancy reports filed? 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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