D.5 PAST PERFORMANCE REFERENCE INFORMATION.pdf
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- Solicitation number
- 36C24223Q0754
About this file
This document contains a past performance reference template for offerors to submit with their response to solicitation number 36C24223Q0754 for Certified Registered Nurse Anesthetist (CRNA) staffing services at the Syracuse VA Medical Center. Offerors must provide at least three past performance references involving contracts of similar size and scope from the past three years. For each reference, offerors must include the contract number, value, period of performance, agency or company name, and current point of contact including name, title, phone number, and email address who can provide performance feedback. A brief description of each contract demonstrating relevance in scope must also be included.
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D.5 PAST PERFORMANCE REFERENCE INFORMATION RFQ 36C24223Q0754
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:
• Contract Number
• Contract Value
• Period of Performance
• Name of agency or company contract was with
• Current Point of Contact (including: name, title or position, phone number, and email address) who can provide performance feedback information
• Brief description of the contract demonstrating the relevance in scope to this requirement
#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
D.5 PAST PERFORMANCE REFERENCE INFORMATION RFQ 36C24223Q0754
#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
#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
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