Attach_5_Past_performance.pdf

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Attached to
Amusement Machines
Solicitation number
FA3020-14-R-0040
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Past Performance

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FA3020-14-R-0040

Attachment 5

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted.

A. Offeror Name (Company): ________________________________

DUNS Number:____________________

B. Program Title:________________________________

C. Contract Specifics:

1. Contracting Agency or Customer _____________________________________________

2. Contract Number__________________________________________________________

3. Period of Performance __________________________

4. Contract Value/Percentage _________________

D. Brief Description of Effort as __Prime or __Subcontractor

E. Primary Customer Points of Contact:

1. Contracting Officer/Specialist:

Name ____________________

Office ____________________

Telephone__________________

Email______________________

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