S02 - Attachment D.3 Past Performance Reference.pdf
PDF 86 KB Posted
- Attached to
- Q401--Registered Nurse ICU Support MEDVAMC Federal contract opportunity
- Solicitation number
- 36C25623Q0090
About this file
This document contains a past performance reference template for Contractor Registered Nurse services. The template includes fields for contractors to provide three past performance references, including the name, address, contract number, description of work, role as prime or subcontractor, dates of performance, total cost, award or incentive details, and termination information for each reference. Contact information is also requested for a point of contact at each reference.
The related federal opportunity is a request for quote for onsite Registered Nurse services at the Michael E. DeBakey Veterans Affairs Medical Center in Houston, Texas. The requirement includes ICU support services. The solicitation number is 36C25623Q0090 and was issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The closing date is not provided.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02 - Amendment 36C25623Q0090 0001.pdf | ||
| 36C25623Q0090_1.docx | DOCX document | |
| S02 - Attachment D.2 - Wage Determination.pdf | ||
| 36C25623Q0090.docx | DOCX document | |
| S02 - Attachment D.1 QASP.pdf | ||
| S02 - 36C25623Q0090 - Houston ICU RN Nurses.pdf |
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Text version
ATTACHMENT D.3 – 36C25623Q0090
– 36C25623Q0090 Registered Nurse Services
SERVICES
PAST PERFORMANCE 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:
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:
REFERENCE 3:
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:
File details come from the government source that posted it. Updated .