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Attachment 4: Past Performance Information Chart

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Attachment 4

PAST PERFORMANCE INFORMATION (relevant services performed in the 3 years prior to submission of proposal)

PRIME CONTRACTOR OR PARTNER/SUBCONTRACTOR

NAME_____________________________

CLIENT

NAME *

POINT OF

CONTACT

NAME,

ADDRESS,

TELEPHONE

A. TYPE OF

SERVICES

PROVIDED,

B. SCOPE, &

C. MAGNITUDE

CONTRACT

NUMBER

AND

VALUE OF

CONTRACT

DATE

SERVICES

PROVIDED

PRINCIPAL

PARTNERS/KEY

PERSONNEL

PPIRS

On File

HUD

Office of

Public and

Indian

Housing

John Doe, PIH Office of

Technical

Assistance, 1234 7th St, Washington, DC

78945

202-555-1234

Technical

Assistance to public housing agencies

C-DEN-12345

$1,000,000 1/07 - 1/09

John Smith, Project Manager;

Jane Doe, TA

Specialist; John

Smith Jr, Accounting

Specialist

Y/Yes

N/No

* If performance was as a subcontractor, this will be the name of the prime contractor.

File details come from the government source that posted it.