Atch_4_Past_Performance_Information_Chart.docx
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- P86543F19R00002
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Attachment 004 - Past Performance Information Chart
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Attachment 4
PAST PERFORMANCE INFORMATION (relevant services performed in the 3 years prior to submission of proposal)
PRIME CONTRACTOR OR PARTNER/SUBCONTRACTOR NAME_____________________________
| CLIENT NAME * |
| POINT OF CONTACT NAME, ADDRESS, TELEPHONE |
| A. TYPE OF SERVICES PROVIDED, |
B. SCOPE, &
C. MAGNITUDE
CONTRACT NUMBER AND
VALUE OF CONTRACT
| DATE SERVICES PROVIDED |
| PRINCIPAL PARTNERS/KEY PERSONNEL |
PPIRS
On File
| HUD Office of Public and Indian Housing |
| John Doe, PIH Office of Technical Assistance, 1234 7th St, Washington, DC 78945 202-555-1234 |
| Technical Assistance to public housing agencies |
| C-DEN-12345 $1,000,000 |
| 1/07 - 1/09 |
| John Smith, Project Manager; Jane Doe, TA Specialist; John Smith Jr, Accounting Specialist |
Y/Yes
N/No
* If performance was as a subcontractor, this will be the name of the prime contractor.
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