ATTACHMENT E LIST OF PAST PERF REF.docx

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Attached to
Waste and Refuse Services
Solicitation number
36C25627Q0003
Issued by

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This is a Past Performance References template form required for submission in response to Solicitation 36C25627Q0003 for Waste and Refuse Services with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.

The attachment provides a standardized template for offerors to submit three past performance references demonstrating relevant experience. Each reference section requires the contracting activity name, location, contract number, point of contact with telephone number, dollar amount, and a brief description of services provided. This template is designed to allow the government to evaluate contractor experience in collection and disposal of refuse services, including bulk waste, which are the core requirements of the underlying solicitation. Offerors must complete all three references as part of their proposal submission to support their qualifications for this waste management services opportunity.

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ATTACHMENT E – LIST OF PAST PERFORMANCE REFERENCES

36C25627Q0003

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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