Amendment_01_SOL_72011123R00006_Attachment J.3 Past Performance Reference Form Revised.docx

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Attached to
USAID Strategic Communications Support Activity Federal contract opportunity
Solicitation number
72011123R00006
Issued by
US Agency for International Development

About this file

This document contains an attachment for a past performance reference form related to solicitation 72011123R00006 from the US Agency for International Development for strategic communications support activity. The past performance reference form requests information including the award number, contractor name and address, type of award as either an acquisition with contract type or assistance with grant type, complexity of work as either difficult or routine, description and relevancy of work, award dollar value, status as active or completed, award and completion dates, type and extent of subcontracting, and contact information for the procuring contracting officer or grant officer.

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Text version

ATTACHMENT J.3

Past Performance Information (PPI)

(To be completed by the offeror)

1. Award Number:

2. Contractor/Recipient (Name and Address):

3. Type of Award: Acquisition: Negotiated Sealed Bid Fixed Price Cost Reimbursement _____ Hybrid (explain) __________________ Assistance: ______Grant Cooperative Agreement_______

4. Complexity of Work: Difficult Routine

5. Description, location, and relevancy of work:

6. Award Dollar Value: Status: Active Completed

7.Date of Award:
Award Completion Date (including extensions):_____

8. Type and Extent of Subcontracting:

9. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting Officer or Grant Officer and/or the Contracting Officer ’s Representative or Agreement Officer’s Representative (and other references—e.g., Administrative Contracting Officer —if applicable):

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