72051823R00001 - TuMUNI TO - J.1 - Past Performance Short Form.docx

SOL-514-17-000005 COMMUNITY DEVELOPMENT AND LICIT OPPORTUNITIES ACTIVITY

ATTACHMENT J.10 – PAST PERFORMANCE INFORMATION – SHORT FORM

Organization Name:

Organization Type:

Name and Address of Awarding Organization or Agency:

Activity Title:

Instrument No.:

Order No. (if any):

Explanation of relevance to the proposed acquisition:

If contract with the USG, CPARS report(s) have been finalized for this activity (Yes/No):

If CPARS report(s) have been finalized in the CPARS system for the activity, leave the following boxes blank. If not, please fill in in full.

Contact information (names, job titles, mailing addresses, phone numbers, e-mail addresses of the procuring Contracting Officer and/or the Contracting Officer ‘s Representative):

Description of the performance

Scope of work or complexity/diversity of tasks:

Primary location(s) of work:

Term of performance:

Dollar value:

Instrument type:

If extraordinary problems impacted any of the referenced contracts, provide a short explanation and the corrective action taken (FAR 15.305(a)(2)).:

Any quality awards or certifications that indicate exceptional capacity to provide the service or product described in the statement of work:

[END OF ATTACHMENT J.1]

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