HDEC05-08-R-0004 Attachment 7-1 PAST PERFORMANCE DATA.doc

PAST PERFORMANCE REFERENCE DATA

(Offeror, insert your name on the line above)

Solicitation HDEC05-08-R-0004 Customer’s Name:

Address:

Telephone:

Fax number:

Point of Contact or Contracting Officer:

Contract Number:

DESCRIPTION OF SERVICES PROVIDED

Performance date

Type of items inventoried

Total dollar value of items inventoried

Hours required to complete

Type of validation of counting required

Degree of error in counting tolerated

Equipment used in completing the inventory

Title:

Address:

Telephone:

Fax:

Problems encountered and corrective actions taken (note: do not provide a general assessment of your performance) : (USE THIS SPACE ONLY. DO NOT ATTACH ADDITIONAL PAGES)

ATTACHMENT 7-1

HDEC05-08-R-0004