S02 - ATTACHMENT D.2 - PAST PERFORMANCE QUESTIONNAIRE v2.pdf

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Attached to
Q702--Onsite Sterile Processing Technician (SPS) Services MEDVAMC Federal contract opportunity
Solicitation number
36C25622Q0130
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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Other files for this federal contract opportunity

Other files attached to Q702--Onsite Sterile Processing Technician (SPS) Services MEDVAMC, newest first.
File Type Posted
36C25622Q0130 0003_1.docx DOCX document
S06 - Amendment 36C25622Q0130 0003 - SPS Services v1.pdf PDF
S06 - Amendment to RFQ 36C25622Q0130 0002 - SPS Services v1.pdf PDF
36C25622Q0130 0002_1.docx DOCX document
36C25622Q0130 0001_1.docx DOCX document
S06 - Amendment to RFQ 36C25622Q0130 0001 - Q and A Session v1.pdf PDF
S02 - ATTACHMENT D.4 - IMMIGRATION CERTIFICATION v2.pdf PDF
S02 - ATTACHMENT D.3 - WAGE DETERMINATION v2.pdf PDF
S02 - RFQ 36C25622Q0130 - Sterile Processing Tech Services v4.pdf PDF
36C25622Q0130_2.docx DOCX document
S02 - ATTACHMENT D.1 QASP v2.pdf PDF
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Attachment D.2 – Past Performance Questionnaire - 36C25622Q0130

Past Performance Questionnaire

Please list your contracts in the chronological order beginning with the most recent one.

Contracts shall be relevant to the Solicitation. Contracts listed cannot be more than 3 years old.

You can list ongoing contracts that began more than 3 years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #2

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

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