VA770-17-R-0417-013.docx

DOCX document 14 KB Posted

Attached to
PHARMACEUTICAL REPACKER Federal contract opportunity
Solicitation number
VA77017R0417
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This document contains a release of past performance form and information on a forthcoming federal contract solicitation for pharmaceutical repacking services. The Department of Veterans Affairs intends to issue request for proposal VA770-17-R-0417 for repacker services with a one year base period plus four one year option periods. The solicitation will be issued on November 15th 2017 with a closing date of December 15th 2017. The contract is for unit-of-use repacking and distribution of approximately seventeen million bottles annually of various oral solid pharmaceuticals purchased by VA Consolidated Mail Outpatient Pharmacies. Repacking must meet FDA standards and orders will be shipped within seven days of receipt. The solicitation will be available electronically at fedbizopps.gov and the point of contact is Evelyn Halliburton-Shannon.

VA770-17-R-0417 ATTACHMENT 5 RELEASE OF PAST PERFORMANCE.docx

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VA770-17-R-0417-012.pdf PDF
VA770-17-R-0417-011.docx DOCX document
VA770-17-R-0417-010.pdf PDF
VA770-17-R-0417-009.pdf PDF
VA770-17-R-0417-014.pdf PDF

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Text version

RELEASE OF PAST PERFORMANCE

Department of Veterans Affairs Attn: Eve Halliburton-Shannon Contracting Officer Network Contracting Office 15 CMOP Acquisitions 2962 S. Longhorn Drive Lancaster, TX 75134 Evelyn.halliburton-shannon@va.gov

We are currently participating as a (subcontractor/teaming partner) with _______________ (prime contractor or name of entity providing proposal) in responding to the Department of Veterans Affairs CMOP Acquisitions request for Proposal VA770-17-R-0417 for the Repacker Services requirement.

We understand that the Government is using past performance as evaluation criteria in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process, we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process, if it becomes necessary.

(Signature and Title of individual who has the authority to sign for and legally bind the partnering company)

Company Name:

Address:

DUNS:

Phone Number:

E-mail Address:

File details come from the government source that posted it. Updated .