Experience_and_Past_Performance_Form.pdf

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SUPPLEMENTAL GROUP HEALTH INSURANCE FOR LOCALLY EMPLOYED STAFF OF U. S. EMBASSY BELGRADE, SERBIA
Solicitation number
S-RB100-17-R-0005
Issued by

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Experience and Past Performance Form

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Experience and Past Performance Solicitation SRB10017R0005 – Section L.4.3.2.1

Offeror: __________________________________ a

Customer's name, address, and the telephone numbers of previous contractors for whom similar insurance and services were provided b Contract number and type of contract c

Date and place of performance of the contract and delivery dates and period of performance d

Scope of the contract, i.e., types of insurance provided and range of population covered, as well as total dollar amount

Experience and Past Performance Solicitation SRB10017R0005 – Section L.4.3.2.1

Offeror: __________________________________ e Brief description of the performance requirements f Comparability to the work required under this solicitation g

Brief discussion of any major technical problems and their resolutions

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