ATTACHMENT_J.4_Past_Performance_Information_Template.docx
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- USAID's CASA-1000 Secretariat Project
- Solicitation number
- 72011519R00005
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ATTACHMENT J.4 Past Performance Information Template
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Annex 1: Notice of Funding Opportunity 72011519RFA00003 USAID Kyrgyz Republic Tuberculosis (TB) Control Program
Past Performance Information (PPI)
(To be completed by the applicant)
1. Award Number:
2. Contractor/Recipient (Name and Address):
3. Type of Award:
4. Complexity of Work: Difficult Routine
5. Description, location, and relevancy of work:
6. Dollar Value of Work : Status: Active Completed
| 7. | Date of Award: |
| Award Completion Date (including extensions): | _____ |
8. Type and Extent of Subawards:
9. Name, Address, Telephone Number, and E-mail Address of the Awarding Contracting/Agreement Officer and/or the Contracting/Agreement Officer ’s Representative (and other references as applicable):
This Is An Assistance Selection Document Containing Predecisional, Deliberative, And Privileged Information And May Not Be Released Outside USAID.
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