4._Past_Performance_List_of_References_-_Mobile_MRI.doc
DOC document 38 KB Posted
- Attached to
- Mobile MRI
- Solicitation number
- FA3020-19-R-A006
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Past Performance References
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Text version
FA3020-19-R-A006
Atch 4
PAST PERFORMANCE LIST OF REFERENCES
NUMBER
CONTRACT NUMBER
(include task order number(s) if applicable) performed by a proposed subcontractor, affiliate, or joint venture?
(If yes, please complete Page 2)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e. number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT PERIOD OF PERFORMANCE (PoP)
REFERENCE POINT OF CONTACT (POC)
(ref. should be person who received services i.e. CO, CA, COR, or equivalent if non-government)
REFERENCE POC PHONE
NUMBER & EMAIL
CONTRACT AMOUNT
(include total contract amount, annual amount and PoP for annual amount)
Total: $
Annual: $
PoP for Annual:
Total: $
Total: $
NUMBER
CONTRACT NUMBER
(include task order number(s) if applicable) subcontractor, affiliate, or joint venture
3rd party affect on performance (Provide role Subcontractor, Affiliate, or Joint Venture will play for this solicitation’s requirement. Include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc.)
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