ATTACHMENT LIST OF PAST PERFORMANCE REFERENCES.docx

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6515--Surgical Instrument Repair Service
Solicitation number
36C25627Q0004
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This is a Past Performance References template form that requires contractors to submit documentation of three previous contract references in support of their proposal for Surgical Instrument Repair Service contract 36C256-23-Q-13 with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.

The template requires contractors to complete three separate reference entries, each documenting a past performance example. For each reference, contractors must provide the contracting activity name, location, contract number, point of contact information, telephone number, dollar amount of the contract, and a brief description of services provided. This form serves as an appendix to the solicitation and is designed to allow the government to evaluate the contractor's relevant experience and capability to perform surgical instrument repair services based on similar work completed on previous federal contracts.

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Other files

File Type Posted
Harrison Co WD 15-5147.txt TXT text file
36C25627Q0004_1.docx DOCX document
ATTACHMENT PAST PERFORMACE QUESTIONAIRE.docx DOCX document
Escambia Co WD 15-4561.txt TXT text file

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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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