Attachment_J-9_Past_Performance_Information.docx

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USAID/Uganda Learning Activity
Solicitation number
72061718R00008
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Attachment J-9 Past Performance Information

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Attachment J-9

Past Performance Information

The following form is included in the solicitation to guide Offerors in responding to the Past Performance Information proposal instructions. 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. Customer Agency /Organization

4. Does a CPARS/PPIRS record exist for this work? Yes or No

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

6. Complexity of Work: Difficult Routine

7. Description, location, and relevancy of work:

8. Contract Dollar Value: Status: Active Completed

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

10. Type and Extent of Subcontracting:

11. 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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