Attachment_J.5_Past_Performance_Information_(PPI).docx

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Attached to
Eliminating Tuberculosis in Central Asia (ETICA)
Solicitation number
72011519R00004
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Attachment J.5: Past Performance Information (PPI)

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Attachment J.6 Request for Proposal (RFP) 72011519R00004 USAID Eliminating Tuberculosis in Central Asia (ETICA)

Past Performance Information (PPI)

The form is not required if the below information is available in the Government past performance systems.

(To be completed by the offeror)

1. Contract Number:

2. Contractor (Name and Address):

3. Type of Contract: Negotiated Sealed Bid Fixed Price Cost Reimbursement _____ Hybrid (explain) _______________________

4. Complexity of Work: Difficult Routine

5. Description, location, and relevancy of work:

6. Contract Dollar Value: Status: Active Completed

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

8. Type and Extent of Subcontracting:

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

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