Attachment J.15-Past Performance Information.docx

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President’s Malaria Initiative Uganda Malaria Reduction Activity
Solicitation number
72061721R00002
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This document contains a past performance evaluation form and details of a related federal contract opportunity from USAID Uganda. The past performance form requests information about up to three prior contracts such as the contract number, customer agency, complexity of work, dollar value, dates of award and completion, and references. The related federal contract opportunity is solicitation number 72061721R00002 seeking proposals to strengthen malaria prevention and case management capacity in focus districts of Uganda through ownership at the community and household levels while maintaining gains at health facilities. USAID Uganda is the issuing agency.

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Attachment J-15: 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):

File details come from the government source that posted it. Updated .