ATTACHMENT C LIST OF PAST PERF REF.docx
DOCX document 21 KB Posted
- Attached to
- S209--Floor mat services
- Solicitation number
- 36C25627Q0028
About this file
This is a Past Performance References template form for solicitation 36C25627Q0028 that requires contractors to submit documentation of prior relevant experience. The form requests three separate past performance references, with each reference requiring the contracting activity name, location, contract number, point of contact information, telephone number, dollar amount, and a brief description of services provided.
This template is part of the evaluation requirements for a floor mat services solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for the Gulf Coast Veterans Health Care System and Mobile Outpatient Clinic Network in Alabama and Mississippi. The underlying solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses, has a NAICS code of 812332, and quotes are due by October 28, 2026 at 12:00 PM CT with contract performance running from January 1, 2027 through December 31, 2027, plus four optional 12-month renewal periods.
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Text version
ATTACHMENT C – LIST OF PAST PERFORMANCE REFERENCES
36C25627Q0028
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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