D.4 Past Performance Reference.pdf
PDF 275 KB Posted
- Attached to
- Onsite Dermatologist Services Federal contract opportunity
- Solicitation number
- 36C25623Q1320
About this file
This document contains past performance references for a federal contract solicitation for onsite dermatologist services. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The past performance references include three references for the contractor, listing the name, address, contract number, description of work, dates of performance, total cost, and point of contact information for the government customers on those past contracts. The references relate to dermatologist and hospitalist services provided under previous contracts.
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Text version
D.4 ATTACHMENT – 36C25622Q1320 DERMATOLOGIST SERVICES
PAST PERFORMANCE
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:
D.3 ATTACHMENT – 36C25622Q0195 HOSPITALIST SERVICES
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:
| PAST PERFORMANCE REFERENCES REFERENCE 1: |
| REFERENCE 2: |
| REFERENCE 3: |
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