S02. Attachment D.2 Past Performance References.pdf

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Attached to
F107-- Pharmacy USP Sampling Services
Solicitation number
36C25625Q0522
Issued by

About this file

This is a Past Performance References template form (Attachment D.2) that requires contractors to provide information about up to three previous contracts with government or commercial organizations. The form requests detailed information for each reference including the organization name, address, contract number, brief description of work performed, contractor role (prime or subcontractor), dates of performance, total contract cost including any awards/incentives/deductions, termination history, and point of contact details including COR name, title, phone number and email address.

The template is associated with solicitation 36C25625Q0522 for Pharmacy USP Sampling Services being procured by the VA Network Contracting Office 16 in Houston, TX. The form appears to be a standard past performance questionnaire used to evaluate contractor's relevant experience and performance history as part of their quote submission for this 100% SDVOSB set-aside opportunity.

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ATTACHMENT D.2 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 .