ATTACHMENT 3 LIST OF PAST PERFORMANCE REFERENCES.docx

DOCX document 17 KB Posted

Attached to
6505--Contingency Compounded Sterile Products Service Federal contract opportunity
Solicitation number
36C25626Q0014
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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This document is an Attachment 3 Past Performance References template for Solicitation 36C25626Q0014, issued by the Department of Veterans Affairs Veterans Health Administration. The template provides a structured form for vendors to complete three reference entries, each requiring details such as contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and a brief description of services provided.

The related federal contract opportunity is for contingency hazardous compounded sterile products services at the G.V. (Sonny) Montgomery VA Medical Center in Jackson, Mississippi. The solicitation is a Request for Quote (RFQ) under FAR 13.5 for commercial items, with NAICS code 325412 and a size standard of 1,300 employees. Electronic quotes are due by Monday, September 29, 2025, at 10:00 a.m. Central Time, to be submitted via email to tammie.chaney@va.gov. Vendors must submit any questions by September 24, 2025, at 1:00 p.m. Central Time.

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Other files for this federal contract opportunity

Other files attached to 6505--Contingency Compounded Sterile Products Service, newest first.
File Type Posted
ATTACHMENT 4 PAST PERFORMACE QUESTIONAIRE.pdf PDF
ATTACHMENT 5 - QUALITY ASSURANCE SURVEILLANCE PLAN.docx DOCX document
Attachment 1-COMMON CHEMO AGENTS.xlsx XLSX spreadsheet
36C25626Q0014.pdf PDF
Attachment 2 -Outsourcing CSPs Assessment Tool 503A.docx DOCX document
36C25626Q0014_1.docx DOCX document

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ATTACHMENT 3 – LIST OF PAST PERFORMANCE REFERENCES

36C25626Q0014

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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