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Attachment 4, PPI LIst

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Attachment No. 4 to RFQ No. FA520920Q001A

PRESENT/PAST PERFORMANCE REFERENCE LIST

Past Performance Information (PPI) No. ________

1. Name of Contracting/Ordering Activity (e.g. Government Agency/Commercial Company):

2. Point of Contact (POC), Contracting Officer and/or Contract Administrator’s Phone No. Fax No., and E-mail Address (if available):

3. Contract No. and Project Title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements Type):

5. Contract Value:

6. Performance Period:

7. Description of Contract Work Performed:

8. Government Inspector/Commercial Project Manager’s Name, Phone Number, and E-mail address (if any):

9. Comments regarding compliance with contract terms and conditions, any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions, etc.:

Past Performance Information (PPI) No. ________

1. Name of Contracting/Ordering Activity (e.g. Government Agency/Commercial Company):

2. Point of Contact (POC), Contracting Officer and/or Contract Administrator’s Phone No. Fax No., and E-mail Address (if available):

3. Contract No. and Project Title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements Type):

5. Contract Value:

6. Performance Period:

7. Description of Contract Work Performed:

8. Government Inspector/Commercial Project Manager’s Name, Phone Number, and E-mail address (if any):

9. Comments regarding compliance with contract terms and conditions, any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions, etc.:

Past Performance Information (PPI) No. ________

1. Name of Contracting/Ordering Activity (e.g. Government Agency/Commercial Company):

2. Point of Contact (POC), Contracting Officer and/or Contract Administrator’s Phone No. Fax No., and E-mail Address (if available):

3. Contract No. and Project Title:

4. Contract Type (e.g. Firm-Fixed Price, IDIQ, Requirements Type):

5. Contract Value:

6. Performance Period:

7. Description of Contract Work Performed:

8. Government Inspector/Commercial Project Manager’s Name, Phone Number, and E-mail address (if any):

9. Comments regarding compliance with contract terms and conditions, any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions, etc.:

OFFEROR’S NAME (COMPANY NAME)______________________________________________________

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