Atch_J.4__PAST_PERFORMANCE_CHART.docx

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Housing Insecurity Research Support
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86614619Q00003
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Housing Insecurity Research Support for American Housing Survey 86614619Q00003

Attachment J-4 PAST PERFORMANCE CHART

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
TYPE OF SERVICES PROVIDED
CONTRACT NUMBER, VALUE OF CONTRACT AND DATE SERVICES PROVIDED
MAGNITUDE
PRINCIPAL PARTNERS/KEY PERSONNEL

PPIRS

On File

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

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