ATTACHMENT LIST OF PAST PERFORMANCE REFERENCES.docx

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R429--Backflow Repair
Solicitation number
36C25626Q0393
Issued by

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This is a past performance references template document that contractors must complete as part of their proposal submission for solicitation 36C25626Q0393, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for backflow repair services. The template requires contractors to provide three 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 attachment serves as an appendix to the solicitation and does not contain specific requirements for the backflow repair services themselves, but rather establishes the format and information necessary for evaluating a contractor's relevant experience and capability to perform similar work.

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Harrison Co Wage Determination 2015-5147 Rev 28 dtd 12-3-2025.pdf PDF
ATTACHMENT CONTRACTOR CERTIFICATION.docx DOCX document
ATTACHMENT PAST PERFORMACE QUESTIONAIRE.docx DOCX document
36C25626Q0393_1.docx DOCX document

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ATTACHMENT 2 – LIST OF PAST PERFORMANCE REFERENCES

36C256-23-Q-13

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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