Attachment 4 - List of Past Performance References.docx

DOCX document 16 KB Posted

Attached to
Q517--First Fill Pharmacy Services Federal contract opportunity
Solicitation number
36C25620Q0655
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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 for this federal contract opportunity

Other files attached to Q517--First Fill Pharmacy Services, newest first.
File Type Posted
S02 Attachment 1 -Quality Assurance Surveillance Plan(QASP).doc DOC document
Attachment 2- CONTRACTOR CERTIFICATION.docx DOCX document
36C25620Q0655.docx DOCX document
Attachment 3- CONTRACTOR RULES OF BEHAVIOR.pdf PDF
Attachment 5- Past Performance Questionnaire.docx DOCX document

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Text version

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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