S02 36C25626Q0035 - Attachment 3 - Past Performance References.pdf
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- Attached to
- 36C25626Q0035 Neuromonitoring for New Orleans VA
- Solicitation number
- 36C25626Q0035
About this file
This document is an Attachment 3: Past Performance References form for a Registered Nurse Services contract (Solicitation Number 36C25623Q0090). The form provides a structured template for offerors to document three separate references from previous government or commercial contracts, including key details such as organization name, contract number, performance dates, total contract cost, and contractor role (prime or sub-contractor).
The references template requires comprehensive information about past performance, including contact information for the point of contact/Contracting Officer's Representative (COR), a brief contract description, and a requirement to disclose any contract terminations. Each reference section allows the offeror to provide up to three references, with space to document the organization's name, address, contract specifics, performance details, and an opportunity to add comments about the contract performance. The form appears designed to help evaluators assess the offeror's previous experience and reliability in providing registered nurse services.
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Text version
D.3 ATTACHMENT 3: Past Performance References
– 36C25623Q0090 Registered Nurse Services
Experience 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:
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:
File details come from the government source that posted it. Updated .