HSBP1017R94741_-_Attachment_4a_-_Past_Performance_Reference.doc
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- Northeast Preventative Maintenance Program
- Solicitation number
- HSBP1017R94741
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HSBP1017R94741 - Attachment 4A - Past Performance Reference
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HSBP1017R94741 ATTACHMENT 4A:
Past Performance Contract Reference Data (2012-2016) Program or Task Order Title
Customer Name
| Customer Address |
| Street |
City/State
Zip
Tel.
Fax
| Contract Points of Contact |
| Contractual: |
Technical:
Name
Name
Title
Title
Organization
Organization
Address
Address
Tel.
Tel.
Fax
Fax
Contract Type
Contract Number
Task Order # if Applicable
Description of Services
| Task Order Technical Point of Contact |
| Name |
Title
Organization
Address
Tel.
Fax
| Period of Performance |
| Project Start Date |
Original Completion Date
Estimated/Actual Completion Date
Explanation of Delay if Applicable
| Contract Value |
| Original Value |
Current Value
Estimated/Actual Completion
Date
Explanation of Cost Growth
| Small Business Subcontracting |
| Levels achieved against subcontractting plan goals (if applicable) and as a percentage of contract value |
Past Performance to be relatively recent (2012 – 2016) in order to be considered relevant.
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