Attachment_3_-_Past_and_Present_Performance_Questionnaire.pdf

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Behavioral Health Care Facilitator Clinical Nurse
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FA5270-18-Q-B059
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Past and Present Performance Questionnaire (Attachment 3)

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Attachment 3, Past and Present Performance

RFQ NO. FA5270-18-Q-B059

BHCF Clinical Nurse for 18 MDG, Okinawa, Japan

Type of Contract Contractor/Address Or Organization

Performance Period

Contract # & ¥ Amount Point of Contact Tel No. Email Address

Example Line From: 1 Jan xx To: Present ¥/$ Mr. Kadena 098-xxx-XXXX

NAME OF COMPANY: ___________________________________ & _________________________________, Date: ___________________ Signiture

Point of Contact

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