D.2- PAST PERFORMANCE REFERENCE INFORMATION 02.docx

DOCX document 21 KB Posted

Attached to
Q201--Community Based Outpatient Clinic (CBOC): Cayuga County, NY (Auburn VA Clinic) of Syracuse VA Medical Center in VISN 2
Solicitation number
36C24224R0049
Issued by

About this file

This document is Attachment D.2 - Past Performance Reference Information for RFP 36C24224R0049. The RFP is for Community Based Outpatient Clinic (CBOC) services to provide primary care services to Veteran patients in Cayuga County, New York. The offeror is required to provide at least three past performance references of similar size and scope that have purchased the offered services in the past three years. For each reference, the offeror must include the contract number, value, period of performance, agency/company name, and current point of contact information. A brief description of the relevance of each referenced contract to the current requirement is also required. The procurement is unrestricted, with a single award contract anticipated. The NAICS code is 621498 - All Other Outpatient Care Centers, with a $25.5 million size standard.

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Attachment D.2 RFP 36C24224R0049

D.2 PAST PERFORMANCE REFERENCE INFORMATION

Offeror shall complete the listing of past performance references below, including at least three businesses or medical facilities of similar size and scope to this solicitation, that have purchased the offered services in the past three years. References listed must be familiar with the contract and able to answer questions about performance and adherence to requirements. The offeror is responsible for ensuring contact information for all past performance references is the most recent and valid information available.

For each past performance reference identified below, the offeror shall include the following information:

1. Contract Number

2. Contract Value

3. Period of Performance

4. Name of agency or company contract was with

5. Current Point of Contact (including: name, title or position, phone number, and email address) who can provide performance feedback information

6. Brief description of the contract demonstrating the relevance in scope to this requirement

Reference 1:

Contract Number:

Contract Value:

Period of Performance:

Name of Agency/Company:

Current Point of Contact:

Name:

Title/Position:

Phone Number:

Email Address:

Brief Description of Contract:

Reference 2:

Contract Number:

Contract Value:

Period of Performance:

Name of Agency/Company:

Current Point of Contact:

Name:

Title/Position:

Phone Number:

Email Address:

Brief Description of Contract:

Reference 3:

Contract Number:

Contract Value:

Period of Performance:

Name of Agency/Company:

Current Point of Contact:

Name:

Title/Position:

Phone Number:

Email Address:

Brief Description of Contract:

Reference 4:

Contract Number:

Contract Value:

Period of Performance:

Name of Agency/Company:

Current Point of Contact:

Name:

Title/Position:

Phone Number:

Email Address:

Brief Description of Contract:

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