Attachment 7 List of Past Performance References.docx

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Attached to
Patient Grounds Transportation
Solicitation number
36C25623Q0998
Issued by

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This document is an attachment providing a template for listing past performance references related to the federal contract opportunity for Patient Grounds Transportation services with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The solicitation seeks references from at least three prior contracting activities including the contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and brief description of services provided. The related federal contract opportunity is solicitation number 36C25623Q0998 for Patient Grounds Transportation services, with an unspecified response due date.

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Other files

File Type Posted
36C25623Q0998 0001.pdf PDF
Attachment 2 Escambia County FL WD 2015-4561 Rev 22 dated 12-27-2022.pdf PDF
Attachment 4 Mobile County AL WD 2015-4605 Rev 19 dated 12-27-2022.pdf PDF
Attachment 9 Contractor Certification of Compliance with Immigration and Nationality Act of 1952.docx DOCX document
Attachment 5 Okaloosa County FL WD 2015-4531 Rev 22 dated 12-27-2022.pdf PDF
Attachment 8 Past Performance Questionaire.docx DOCX document
Attachment 1 Bay County FL WD 2015-4559 Rev 22 dated 12-27-2022.pdf PDF
S02 36C25623Q0998.pdf PDF
Attachment 3 Harrison County MS WD 2015-5147 Rev 20 dated 12-27-2022.pdf PDF
Attachment 6 Quality Assurance Surveillance Plan (QASP).docx DOCX document
Attachment 10 Notification of Compliance with Insurance Requirements.docx DOCX document
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ATTACHMENT 7 – LIST OF PAST PERFORMANCE REFERENCES

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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