Past_Performance.doc
DOC document 31 KB Posted
- Solicitation number
- GS-10P-15-XC-C-0022
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Past Performance
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Text version
1. Complete Name of Customer
2. Customer Address and Telephone Number
3. Contract/Other Reference Number and Type of Contract
4. Date of Contract Award
5. Date Work Commenced
6. Date Work Ended
7. Initial Contract Price/Cost and Fee
8. Final Amount Invoiced/Amount Invoiced to Date
9a.
Technical Point of Contact (include e-mail address and telephone number)
9b. Contracting Point of Contact (include e-mail address and telephone number)
10a. Contract Title
10b. Reserved.
11. Description of Work
12. Describe how the work under this contract is related to the experience cited.
13. Self-Assessment of past performance record. Provide information on any problems encountered and your corrective actions:
14. Current Status of Contract (Choose One)
[ ] Work Continuing, on Schedule
[ ] Work Continuing, Behind Schedule
[ ] Work Complete, Litigation Pending or Underway
[ ] Work Completed, No Further Action Pending or Underway
[ ] Work Completed, Routine Administrative Action Pending or Underway
[ ] Work Completed, Claims Negotiations Pending or Underway
[ ] Terminated for Convenience
[ ] Terminated for Default
[ ] Other (explain)
Past-Performance Information Form
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