Attachment 6 LIST OF PAST PERFORMANCE REFERENCES.docx
DOCX document 17 KB Posted
- Attached to
- V212--SOLICITATION Wheelchair Transports
- Solicitation number
- 36C25626Q0297
About this file
This is a template form for past performance references required as part of Solicitation 36C25626Q0297 for wheelchair transportation services with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The form is designed to collect documentation of a contractor's relevant prior experience and serves as an appendix to the solicitation package.
The template provides space for bidders to submit three separate past performance references, with each reference requiring the following information: the contracting activity name and location, contract number, period of performance, point of contact with telephone number, dollar amount of the contract, and a brief description of services provided. This form is a standard evaluation tool used to assess contractor capability and experience in delivering similar services before award.
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Text version
ATTACHMENT 6 – LIST OF PAST PERFORMANCE REFERENCES
36C25626Q0297
PAST PERFORMANCE REFERENCES
REFERENCE 1:
Contracting Activity Name: _________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
REFERENCE 2:
Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
REFERENCE 3:
Contracting Activity Name:_________________________________ Location: _____________________________________ Contract Number: ______________________________ Period of performance________________________ Point Of Contact: ______________________________ Telephone Number: ____________________________ Dollar Amount: __________________ Brief Description of Services Provided: _______________________________________
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