ATTACHMENT 3 - LIST OF PAST PERFORMANCE REFERENCES.docx

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Q517--586-21-1-043-0003 Pharmacy Compounding Jackson
Solicitation number
36C25620Q0746
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This document contains a past performance reference template and details of a federal contract opportunity for pharmacy compounding services. The template lists three past performance references and requests contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and brief description of services provided for each. The related federal contract opportunity is soliciting proposals for pharmacy hazardous compounding services for the G.V. Sonny Montgomery VA Medical Center in Jackson, Mississippi. Interested parties must be registered in SAM, VetBiz, and Vet 4212 systems. The solicitation number is 36C25620Q0746 and will be available on or shortly after July 6, 2020. The requirement will be competed as unrestricted and questions may be directed to the named point of contact.

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Other files

File Type Posted
ATTACHMENT 5 - QUALITY ASSURANCE SURVEILLANCE PLAN (QASP).docx DOCX document
36C25620Q0746.docx DOCX document
ATTACHMENT 2 - NATIONAL PBM CSPS ASSESSMENT GUIDE.pdf PDF
ATTACHMENT 4 - PAST PERFORMANCE QUESTIONNAIRE.docx DOCX document
ATTACHMENT 1 - PRICE COST SHEET.xlsx XLSX spreadsheet

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ATTACHMENT 3 – LIST OF PAST PERFORMANCE REFERENCES

36C25620Q0746

PAST PERFORMANCE REFERENCES

REFERENCE 1:

Contracting Activity Name: _________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

REFERENCE 2:

Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

REFERENCE 3:

Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________

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