ATTACHMENT_J.7_CONTRACTOR_PERFORMANCE_REPORT__SHORT_FORM.docx
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- Ukraine Health Reform Support Program
- Solicitation number
- SOL-121-17-000009
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ATTACHMENT J.7 CONTRACTOR PERFORMANCE REPORT SHORT FORM
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ATTACHMENT J.7
CONTRACTOR PERFORMANCE REPORT – SHORT FORM
CONTRACTOR PERFORMANCE REPORT - SHORT FORM
PART I: Contract Information (to be completed by offeror)
1. Name of Contracting Entity:
2.Contract Number:
3. Contract Type:
4.Contract Value (TEC): (if subcontract, subcontract value)
5. Description of Work/Services/and overall performance rating:
6. Problem: (if problems encountered on this contract, explain corrective action taken)
7. Contacts: (Name, Telephone Number and E-mail address)
7a. Contracting Officer:
Phone Number:
Email Address:
7b. Technical Officer(COR):
Phone Number:
Email Address:
7c. Other:
8. Offeror:
9. Information Provided in Response to RFP No.:
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