D.4 - Attachment 4 - Experience References.pdf
PDF 109 KB Posted
- Solicitation number
- 36C25626Q0004
About this file
This document is an Attachment 4: Past Performance Reference form for Registered Nurse Services, solicitation number 36C25623Q0090. The template provides space for documenting three separate reference experiences, requiring detailed information about previous contract work including the name of the government or commercial organization, contract number, brief description of work performed, contractor role (prime or sub-contractor), dates of performance, total contract cost, and potential terminations.
Each reference section allows for comprehensive documentation of contract details, including a point of contact's information (name, title, telephone number, and email address), and a comments section. The form is designed to help evaluate a contractor's past performance by providing a standardized method for capturing critical information about previous contracts, which will likely be used in assessing the contractor's qualifications and reliability for the current solicitation for Registered Nurse Services.
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D.4 ATTACHMENT 4: Past Performance Reference
– 36C25623Q0090 Registered Nurse Services
Experience References
REFERENCE 1:
Name of Government or Commercial Organization: Address:
Contract Number:
Brief Description:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any 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:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any 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:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any 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 .