ATTACHMENT 4 PAST PERFORMANCE REFERENCES.docx

DOCX document 22 KB Posted

Attached to
Q522--MO POR Teleradiology 648 09/01/2026-08/31/2027
Solicitation number
36C26026Q0869
Issued by

About this file

This is a Past Performance References template attachment for use in responding to a federal solicitation. The form requires offerors to provide three verified past performance references, with each reference requiring the following information: contract or task order title, point of contact name and title, contracting agency name and address, phone number, email address, contract title, contract number, period of performance, contract value, and a description of relevant work performed. The template is designed to allow evaluators to assess an offeror's prior experience and capability to successfully perform on the solicitation for teleradiology services issued by the VA Portland Healthcare System under solicitation number 36C26026Q0869. This is a set-aside solicitation for Service-Disabled Veteran-Owned Businesses (SDVOSB) under NAICS code 621512 (Diagnostic Imaging Centers), with a small business size standard of $19.0 million. The references should contain current and verified contact information to enable government evaluators to directly validate the offeror's past performance history during the evaluation phase.

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Text version

ATTACHMENT 4: PAST PERFORMANCE REFERENCES

Reference Number 1: Contract/Task Order Title

POC Name:

Title:

Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Relevant work description:

Reference Number 2: Contract/Task Order Title

POC Name:

Title:

Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Relevant work description:

Reference Number 3: Contract/Task Order Title

POC Name:

Title:

Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Relevant work description:

*Provide verified, up-to-date contact information.

File details come from the government source that posted it. Updated .