Attachment__4_Past_Performance_Questionnaire.pdf

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Dive Master & Locker Maintenance Service
Solicitation number
W912JV-18-R-5002
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Attachment# 4 Past Performance Questionnaire

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ATTACHMENT# 5 PAST PERFORMANCE QUESTIONNAIRE

W912JV-18-R-5002, 14 AUGSUT 2018

PAST PERFORMANCE QUESTIONNAIRE

Reference #1

1) Contract Number:

2) Contract Title:

3) Description of Services Provided:

4) Period of Performance:

5) Place of Performance:

6) Total Contract Dollar Value:

7) Point of Contact Information for the requiring activity of the referenced contract(s).

Contracting Officer Name:

Phone: E-mail:

Contracting Officer Rep:

Phone: E-mail:

Reference #2

1) Contract Number:

2) Contract Title:

3) Description of Services Provided:

4) Period of Performance:

5) Place of Performance:

6) Total Contract Dollar Value:

7) Point of Contact Information for the requiring activity of the referenced contract(s).

Contracting Officer Name:

Phone: E-mail:

Contracting Officer Rep:

Phone: E-mail:

Reference #3

1) Contract Number:

2) Contract Title:

3) Description of Services Provided:

4) Period of Performance:

5) Place of Performance:

6) Total Contract Dollar Value:

7) Point of Contact Information for the requiring activity of the referenced contract(s).

Contracting Officer Name:

Phone: E-mail:

Contracting Officer Rep:

Phone: E-mail:

Reference #4

1) Contract Number:

2) Contract Title:

3) Description of Services Provided:

4) Period of Performance:

5) Place of Performance:

6) Total Contract Dollar Value:

7) Point of Contact Information for the requiring activity of the referenced contract(s).

Contracting Officer Name:

Phone: E-mail:

Contracting Officer Rep:

Phone: E-mail:

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