6Attachment 5 - Past Performance Information.docx

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Hospital Assessment Consulting Services
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86615619R00018
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86615619R00018 Attachment 5

PAST PERFORMANCE INFORMATION (relevant services performed in the 3 years prior to submission of proposal)

PRIME CONTRACTOR OR PARTNER/SUBCONTRACTOR NAME_____________________________

CLIENT NAME *
POINT OF CONTACT NAME, ADDRESS, TELEPHONE
TYPE OF SERVICES PROVIDED
CONTRACT NUMBER AND VALUE OF CONTRACT
DATE SERVICES PROVIDED
PRINCIPAL PARTNERS/KEY PERSONNEL

PPIRS

On File

HUD Office of Public and Indian Housing
John Doe, PIH Office of Technical Assistance, 1234 7th St, Washington, DC 78945 202-555-1234
Technical Assistance to public housing agencies
C-DEN-12345 $1,000,000
1/07 - 1/09
John Smith, Project Manager; Jane Doe, TA Specialist; John Smith Jr, Accounting Specialist

* If performance was as a subcontractor, this will be the name of the prime contractor.

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