J.4_Contractor_Performance_Report_-_Short_form.docx

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Judiciary Against Corruption Activity (JACA)
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72016819R00001
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Past Performance Information form

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Attachment J.4

CONTRACTOR PERFORMANCE REPORT

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I: Contract Information (to be completed by offeror)

1. Name of Contracting Entity:

2.Contract Number:

3. Contract Type:

4.Contract Value (TEC): (if subcontract, subcontract value)

5. Description of Work/Services/and overall performance rating:

6. Problem: (if problems encountered on this contract, explain corrective action taken)

7. Contacts: (Name, Telephone Number and E-mail address)

7a. Contracting Officer:

Phone Number:

Email Address:

7b. Technical Officer(COR):

Phone Number:

Email Address:

7c. Other:

8. Offeror:

9. Information Provided in Response to RFP No.:

END OF ATTACHMENT J.4 - CONTRACTOR PERFORMANCE REPORT

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