Attachment 13 LIST OF PAST PERFORMANCE REFERENCES.docx
DOCX document 17 KB Posted
- Attached to
- V225--Ground Ambulance
- Solicitation number
- 36C25626Q0347
About this file
This is a past performance references template for a ground ambulance services solicitation (36C25626Q0347) issued by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 16. The template is designed for offerors to provide three past performance references demonstrating their experience with similar contracts.
Each reference section requires offerors to document: the contracting activity name and location, contract number, period of performance, point of contact with telephone number, dollar amount of the contract, and a brief description of services provided. This attachment serves as a standardized form for vendors to substantiate their qualifications and relevant experience in delivering ground ambulance services to federal customers, which is a requirement for evaluation of quotes submitted for the base performance period of April 1, 2026, through March 31, 2027, with four optional twelve-month extension periods. Quotes are due by February 27, 2026, at 12:00 p.m. Central Standard Time and should be submitted to Tina Harris at tina.harris3@va.gov.
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Text version
ATTACHMENT 13 – LIST OF PAST PERFORMANCE REFERENCES
36C25626Q0347
PAST PERFORMANCE REFERENCES
REFERENCE 1:
Contracting Activity Name: _________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
REFERENCE 2:
Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
REFERENCE 3:
Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
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