Attachment J.2 - Contractor Performance Report.docx

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Market Access and Innovative Finance (MAIF)
Solicitation number
RFQ1428884-7200AA20Q00025
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J.2 CONTRACTOR PERFORMANCE REPORT – SHORT FORM

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I: Contract Information (to be completed by Offeror)

1. Name of Contracting Entity:

2.Contract Number:

3. Contract Type:

4.Contract Value (TEC): (if subcontract, subcontract value)

5. Description of Work/Services:

6. Problem: (if problems encountered on this contract, explain corrective action taken)

7. Contacts: (Name, Telephone Number and E-mail address)

7a. Contracting Officer Name:

Phone Number:

Email Address:

7b. Technical Officer (COR) Name:

Phone Number:

Email Address:

7c. Other:

8. Offeror:

9. Information Provided in Response to RFQ No.:

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