Amendment_02_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 number 72011123R00006 from the US Agency for International Development for strategic communications support activity services. 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 or cooperative agreement details, complexity and description of previous work, award value and dates, subcontracting structure, and points of contact for the procuring office.

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Text version

ATTACHMENT J.3

Past Performance Information (PPI)

(To be completed by the offeror or past performance reference)

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. (Discuss aspects related to the quality of the service or product; timeliness; cost control; management; and regulatory compliance):

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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