Attachment 3 - Past Performance Recipient List.docx
DOCX document 20 KB Posted
- Attached to
- PAD Medical Coders and Transcription Services
- Solicitation number
- HT001424R0004
- Issued by
-
Defense Health Agency
About this file
This document is an attachment containing a past performance recipient list template for solicitation number HT001424R0004 issued by the Defense Health Agency. The template requires offerors to provide details of up to three past performance references including the name of the effort, citation number, date sent, mode of transmittal, point of contact, and their contact information. Offerors must also provide the company name, address, date of last contact for each reference, as well as the date the questionnaire was sent and any additional comments. The related federal contract opportunity is for PAD medical coding and transcription services with an opportunity type listed as solicitation.
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Text version
HT001424R0004
Attachment 3 8 December 2023
Company Name ______________________________________________________________ Page _______ of ________
PRESENT & PAST PERFORMANCE QUESTIONNAIRE RECIPIENT LIST
Solicitation No. HT001423R0004
Offeror Information
Company Name
POC Name
Phone / Fax #
Address
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
File details come from the government source that posted it. Updated .