ATTACHMENT A LIST OF PAST PERF REF.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C25626Q0273
About this file
The document is an Attachment A template for Past Performance References related to Solicitation 36C25626Q0273 for the Gulf Coast Veterans Health Care System. The template provides a structured form for vendors to list three past performance references, including fields for contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and a brief description of services provided. This template is part of a solicitation for home sleep apnea testing services using the WatchPAT Direct One program, to be performed at VA facilities in Mississippi, Alabama, and Florida. The contract is firm-fixed-price, open to unrestricted businesses, with a closing date of January 13, 2026, and an anticipated performance period from January 19, 2026, through December 31, 2026. Vendors must be actively registered in the SAM database and complete required representations and certifications to be eligible for award.
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Text version
ATTACHMENT A – LIST OF PAST PERFORMANCE REFERENCES
36C25626Q0273
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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