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 for solicitation 36C25627Q0004, a surgical instrument repair service opportunity issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The template requires contractors to provide three past performance references that demonstrate relevant experience in delivering similar services. Each reference entry requests standard documentation including the contracting activity name and location, contract number, point of contact with telephone number, contract dollar amount, and a brief description of services provided. This template is designed to enable the government to evaluate a contractor's qualifications and track record in surgical instrument repair services prior to award. No specific response dates, pricing terms, or other contractual details are included in this attachment, as it serves solely as a standardized form for collecting past performance information from prospective contractors.

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Other files

File Type Posted
Harrison Co WD 15-5147.txt TXT text file
ATTACHMENT PAST PERFORMACE QUESTIONAIRE.docx DOCX document
Escambia Co WD 15-4561.txt TXT text file
36C25627Q0004_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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