D.3 PAST PERFORMANCE REFERENCE v1.docx

DOCX document 23 KB Posted

Attached to
Intensive Care Unit Registered Nurse Services - Little Rock, AR
Solicitation number
36C25622Q0527
Issued by

About this file

This document contains a past performance reference template and information about a federal contract opportunity for Registered Nurse services. The solicitation seeks onsite Registered Nurse services for the Intensive Care Unit and other critical care areas at the John L. McClellan Veterans Affairs Medical Center in Little Rock, Arkansas. Offerors must provide three past performance references using the template included, which requires information such as the client name, contract number, description of the work performed, dates and cost of the contract, and a point of contact. The federal agency issuing this solicitation is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. Responses are due by the date specified in the attached solicitation.

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Other files

File Type Posted
36C25622Q0527 0004.pdf PDF
36C25622Q0527_1 v1.pdf PDF
D.3 PAST PERFORMANCE REFERENCE v1.docx DOCX document
D.1 QUALITY ASSURANCE SURVEILLANCE PLAN.docx DOCX document
36C25622Q0527 0002.pdf PDF
36C25622Q0527 0001.pdf PDF
D.2 WAGE DETERMINATION v1.pdf PDF
36C25622Q0527 0003.pdf PDF
36C25622Q0527 0002.pdf PDF
36C25622Q0527 0001.pdf PDF
D.1 QUALITY ASSURANCE SURVEILLANCE PLAN.docx DOCX document
36C25622Q0527_1 v1.pdf PDF
D.2 WAGE DETERMINATION v1.pdf PDF
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Text version

SERVICES

PAST PERFORMANCE REFERENCES REFERENCE 1:

Name of Government or Commercial Organization: Address:

Contract Number:

Brief Description:

D.

ATTACHMENT –

36C25622Q0 Registered Nurse Services

Contractor Performed as:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract:Award/Incentive/DeductionAny terminations for cause or default? Circle YES or NO
If yes, brief explanation:Point Of Contact/COR:Title:Telephone Number:Point of Contact’s email address:

Comments:

REFERENCE 2:

Name of Government or Commercial Organization: Address:

Contract Number:

Brief Description:

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract:Award/Incentive/DeductionAny terminations for cause or default? Circle YES or NO
If yes, brief explanation:Point Of Contact/COR:Title:Telephone Number:Point of Contact’s email address:

Comments:

REFERENCE 3:

Name of Government or Commercial Organization: Address:

Contract Number:

Brief Description:

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract:Award/Incentive/DeductionAny terminations for cause or default? Circle YES or NO
If yes, brief explanation:Point Of Contact/COR:Title:Telephone Number:Point of Contact’s email address:

Comments:

File details come from the government source that posted it. Updated .