Attachment 7- List of Past Performance References.docx

DOCX document 16 KB Posted

Attached to
Q517--First Fill Pharmacy for Jackson Federal contract opportunity
Solicitation number
36C25622Q1161
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document provides a template for listing past performance references for solicitation number 36C256-22-Q-1161 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The solicitation is for First Fill Pharmacy Services. Offerors are to provide three past performance references including the contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and brief description of services provided for each reference. No other salient details are included in the template or related federal contract opportunity.

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Text version

ATTACHMENT 7 – LIST OF PAST PERFORMANCE REFERENCES

36C256-22-Q-1161

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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