S02 - D5 - Past Performance References.pdf

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Q201--Greenville CBOC Services
Solicitation number
36C25621R0001
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ATTACHMENT D.5 – PAST PERFORMANCE REFERENCES

RFP # 36C25621R0001

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 Value of Contract:

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:

Any contract discrepancy reports filed? Circle YES or NO

If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

Point of Contact’s email address:

Comments:

REFERENCE 2:

Dates of Performance (if current include expiration):____________________________

Total Value of Contract:

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:

Any contract discrepancy reports filed? Circle YES or NO

If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

ATTACHMENT D.5 – PAST PERFORMANCE REFERENCES

RFP # 36C25621R0001

REFERENCE 3:

Dates of Performance (if current include expiration):

Total Value of Contract:

Any terminations for cause or default? Circle YES or NO

If yes, brief explanation:

Any contract discrepancy reports filed? Circle YES or NO

If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

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