Att D2 Past Performance Reference rv.pdf

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Attached to
Q522--VHSO Teleradiology Services- Fayetteville (564) SDVOSB competitive
Solicitation number
36C25626Q0022
Issued by

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This document is an Attachment D.2 Past Performance References form for a Teleradiology Request for Quote (RFQ) with solicitation number 36C25625Q0022. The form provides a structured template for vendors to document three separate past performance references, requiring detailed information for each reference including:

  • Name and address of government or commercial organization
  • Contract number
  • Brief contract description
  • Contractor role (prime or sub-contractor)
  • Dates of performance
  • Total contract cost
  • Termination status
  • Point of contact details (name, title, telephone, email)
  • Optional comments section

The form allows potential contractors to demonstrate their prior experience and performance history when responding to this teleradiology-related solicitation, with space for completing information about three separate contract references.

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ATTACHMENT D.2 - Past Performance References, Teleradiology, RFQ - 36C25625Q0022

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:

File details come from the government source that posted it. Updated .