Attachment 4 - List of Past Performance References.docx
DOCX document 16 KB Posted
- Attached to
- Q517--First Fill Pharmacy Services
- Solicitation number
- 36C25620Q0655
About this file
This document contains a template for listing past performance references and details regarding a federal contract opportunity for first fill pharmacy services. The template includes fields for contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and brief description of services provided for up to three references.
The federal contract opportunity is solicitation number 36C256-20-Q-0655 from the Department of Veterans Affairs, Network Contracting Office 16, for first fill pharmacy services for Gulf Coast Veterans Health Care Systems CBOCs. The requirement is set aside 100% for service-disabled veteran-owned small businesses using NAICS code 446110 with a size standard of $30 million. Interested parties must be registered, active, and verified in SAM, VetBiz, and Vet 4212. The solicitation package will be available following this presolicitation notice.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 5- Past Performance Questionnaire.docx | DOCX document | |
| Attachment 2- CONTRACTOR CERTIFICATION.docx | DOCX document | |
| S02 Attachment 1 -Quality Assurance Surveillance Plan(QASP).doc | DOC document | |
| 36C25620Q0655.docx | DOCX document | |
| Attachment 3- CONTRACTOR RULES OF BEHAVIOR.pdf |
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ATTACHMENT 4 – LIST OF PAST PERFORMANCE REFERENCES
36C256-20-Q-0655
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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