Att D2 Past Performance Reference rv.pdf

118 KB Posted

Attached to
Onsite Phlebotomy Services- Houston, TX
Solicitation number
36C25626Q0476
Issued by

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Written by GovTribe AI ·

This is a past performance references template for use in responding to Request for Quote (RFQ) 36C25626Q0476 for onsite phlebotomy services. The template requires contractors to provide three past performance references demonstrating relevant experience.

Each reference section requires contractors to document: the name and address of the government or commercial organization served; the contract number; a brief description of work performed; whether the contractor served as prime or sub-contractor; dates of performance including expiration dates for current contracts; total contract cost and any awards, incentives, or deductions; confirmation of whether any terminations for cause or default occurred with explanatory notes if applicable; and complete point of contact information including the Contracting Officer's Representative (COR) or point of contact name, title, telephone number, and email address. Additional space is provided for comments regarding each reference. This template is designed to enable the government to assess contractor capability and past performance on similar phlebotomy service contracts prior to award.

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Other files

File Type Posted
36C25626Q0476-RFQ 0001.pdf PDF
Att D3 - Contractor Rules of Behavior.pdf PDF
RFQ 36C25626Q0476-ONSITE PHLEBOTOMY- REV 5 18.pdf PDF
QASP- ONSITE PHLEBOTOMY rv cor signed.pdf PDF
Att D7 WD 2015-5233 REV 32 dtd 12 03 2025.txt TXT text file
Att D6- VAAR 852.219-75.docx DOCX document
Att D4 - Key Personnel and COI.docx DOCX document
Att D5 - CONTRACTOR CERTIFICATION IMM.docx DOCX document
Att D8 BAA - ONSITE PHLEBOTOMY SERVICES.doc DOC document

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ATTACHMENT D.2 - Past Performance References, Onsite Phlebotomy, RFQ

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:

36C25626Q0476

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 .