Attachment J.3 - Past Performance Evaluation Form.pdf
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- OMB Circular Consulting Services
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- DCSC-12-FS-0038
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Past Performance Evaluation Form (Attachment J.3)
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Text version
TAX tx?mmCATIrn APRDAVIT
For all w- m 100,000.00, Lhe fobwing dwvit is rKpw:
D.C. Bmpbpt T h ID No.:
u - w Accamt No.:
a-U-Nd No.: '
Tba D.C. Catns EP d m v e r f f y & ~ ~ ~ w f c B 'OlwnrnmGac
m. Rdqdrl%-haibd.olma.-$E-for ~ m a r e ~ # p a ( 1 ) p c a t ~ b o r b , r s ~ m B . C . ~ S c c . ~ ~ 1 4 . -far* ~ L a f k d ~ ~ ~ $ 2 ~ . 0 0 , imp ' * k g n a t m o ~ o r h a n i l t ~ e ( 3 ) ~ . ~ ~ , ss in D.C. COdt SCC. 22-2513.
PAST PERFORMANCE EV&UATXON FOW
(- qp* box)
Page I of2
4. Telephone Nuink of Evaluator:
5. ~typtaf&Gereoeived:
6. S#e Con- Nudm, Amount and period of Pdomamc
7. Remadrs 0x1 Excellent Perfomanw hv ide data supporting this obsmatioh (Conhue on srhaet if needed)
Perfalmmcc BlerrwnEs WtY of M c e T i m e h of Perfo-
8. Ramh on unaccepEable &omawe: Provide data supporting this obsetvation.
(Continue onqmate sheet ifnaeded)
Cost Control
B h R&bm -- --clmnlm , SutWaaion
ExcdIent W Paor Acqtabie Umceqmble
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