Attachment_4_-_Past_Performance_Reference_Sheet.doc

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Linen Rental Service
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F3ST403115A001
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Attachment 4 - Past Performance Reference Sheet

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F3ST403115A001_-_Questions_ _Responses_-_V2.pdf PDF
F3ST403115A001_-_Questions_ _Responses_-_V1.pdf PDF
Attachment_3_-_DoL_Wage_Determination.pdf PDF
Attachment_2_-_SOW_Linen_Rental_Service.pdf PDF
Attachment_1_-_Quote_Sheet.xlsx XLSX spreadsheet

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PAST PERFORMANCE REFERENCE SHEET

A. REFERENCE #1 INFORMATION:

1. Company/Division Name:

2. Telephone Number:

3. Address:

4. Fax Number: ______________________________________________________________

5. Point of Contact: ___________________________________________________________

6. Program/Project Title (for similar projects performed within the last five years)*: _____________________________________________________________________________

7. Description of Contract/Project effort (include frequency of scheduled pickups and approximate number pickup points/stops)*: __________________________________________

8. Contract Number Provided by Offeror: __________________________________________

9. Contract Dollar Value (including options) at award: ________________________________

a. Current Dollar Value: __________________________________________________

b. Primary cause of Change in Contract Value (modification in scope): _____________

10. Contract Period or Dates of Performance Provided by Offeror: ________________________

11. Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel

B. REFERENCE #2 INFORMATION:

1. Company/Division Name:

2. Telephone Number:

3. Address:

4. Fax Number: ______________________________________________________________

5. Point of Contact: ___________________________________________________________

6. Program/Project Title (for similar projects performed within the last five years)*: _____________________________________________________________________________

7. Description of Contract/Project effort (include frequency of scheduled pickups and approximate number pickup points/stops)*: __________________________________________

8. Contract Number Provided by Offeror: __________________________________________

11. Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel

C. REFERENCE #3 INFORMATION:

1. Company/Division Name:

2. Telephone Number:

3. Address:

4. Fax Number: ______________________________________________________________

5. Point of Contact: ___________________________________________________________

6. Program/Project Title (for similar projects performed within the last five years)*: _____________________________________________________________________________

7. Description of Contract/Project effort (include frequency of scheduled pickups and approximate number pickup points/stops)*: __________________________________________

8. Contract Number Provided by Offeror: __________________________________________

11. Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel

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