S02. Attachment B - Past Performance References.pdf

PDF 75 KB Posted

Attached to
Prescription Services Federal contract opportunity
Solicitation number
36C25626Q0050
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

Attachment B is a Past Performance References form with three identical blank reference templates for documenting previous contract experience. The form requires detailed information about past government or commercial contracts, including:

Each reference section allows the contractor to provide comprehensive details about prior contract work, such as the organization name, address, contract number, brief description, performance role (prime or subcontractor), contract dates, total contract cost, and contact information. The template also includes a specific field to disclose any contract terminations for cause or default, requiring a brief explanation if applicable. This document is typically used in federal procurement processes to validate a contractor's previous performance and demonstrate capability to execute future contract work.

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Other files for this federal contract opportunity

Other files attached to Prescription Services, newest first.
File Type Posted
S02. Attachment A - Wage Determination No. 2015-5109 Revision No. 28 dated 07-08-2025.pdf PDF
S02. Attachment D - Needed Prescriptions.pdf PDF
S02. 36C25626Q0050.pdf PDF
S02. Attachment C - Pharmacies to Proximity of Clinics.pdf PDF
S02. 36C25626Q0050.docx DOCX document

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Text version

ATTACHMENT B - 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:

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 .