Past Performance List of References

Past Performance List of References

RLP No.:

City, ST – Facility: Santa Cruz CBOC
Offer Due Date/Time:September 30, 2026 at 7:30 ET [VA Broker/PM Input] VA Lease Contracting Officer: J.P. Niega, [email protected] VA Broker: Caitlin Cunningham, [email protected]

Offering Entity (Legal Name):

PAST PERFORMANCE LIST OF REFERENCES

In reference to column PPQ below, check the appropriate box (see RLP for submission instructions): Select A if VA Contract, Offeror using a previously completed PPQ Select B if VA Contract, Offeror submitted a PPQ request to the contract reference; include date of submission Select C if Non-VA Contract
Contract Reference No.
Past Performance Contractor Entity
Past Performance Reference
PPQ
Date PPQ Submitted to Reference

Entity Name
UEI No.
Name/Title
Phone/Email

☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C