Attachment_1_Past_Performance_Info_Data_Sheet.docx

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Program for the Advancement of Malaria Outcomes (PAMO)
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SOL-611-15-000002
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Attachment 1_Past Performance Information Data Reference Sheet

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Past Performance Information Data Sheet

1. Award Number:

2. Awardee/Recipient/Contractor (Name and Address):

3. Type of Award: Negotiated _____ Sealed Bid _____ Fixed Price _____ Cost Reimbursement _____ Hybrid (explain) _______________________

4. Complexity of Work: Difficult _____ Routine _____

5. Description, location, and relevancy of work:

6. Award Dollar Value: __________________ Status: Active _____ Completed ______

7. Date of Award: ___________ Award Completion Date (including extensions): __________

8. Type and Extent of Subcontracting:

9. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting/Agreement Officer and the Contracting/Agreement Officer’s Representative (include Activity Manager, if applicable):

10. If the Applicant encountered problems on any of the referenced Awards, provide a short explanation and the corrective action taken.

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