ATTACHMENT A LIST OF PAST PERF REF.docx

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H146--520-26-1-543-0018 legionella
Solicitation number
36C25625Q1462SSN
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This document is an Attachment A template for Past Performance References related to Solicitation Number 36C25625Q1462SSN issued by the Department of Veterans Affairs Veterans Health Administration. The template provides a structured format for contractors to list three past performance references, each requiring details such as contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and a brief description of services provided. The associated federal contract opportunity involves testing for Legionella bacteria and other impurities, specifically for Veterans Integrated Service Network 16 (VISN 16), indicating a health-related service requirement focused on water quality and bacterial testing for VA healthcare facilities.

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ATTACHMENT A – LIST OF PAST PERFORMANCE REFERENCES

36C25652Q1462SSN_1

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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