Attach2_Relevant_Contract_Form_Template.docx

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DLI QC and Validation Support
Solicitation number
W9124N20R0001
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RELEVANT CONTRACT FORMAT

1. Contract Number:

Award Date:

Contract Type:

CPARS (Y/N):

Prime or Subcontractor:

2. Period of Performance/Delivery Date:

Original completion/delivery date:

Revised completion/delivery date:

3. Price/Cost – original awarded price:

Modified Price/Cost -

4. Contractor POC Name:

Address:

Phone Number:

E-Mail Address:

5. Procuring Contracting Officer (PCO) Name:

Address:

Phone Number:

E-Mail Address:

6. Administrative Contracting Officer (ACO) Name:

Address:

Phone Number:

E-Mail Address:

7. Technical Representative or COR Name:

Address:

Phone Number:

E-Mail Address:

8. Relevancy Description:

9. Narrative explanation:

10. Negative Performance Documentation:

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