A22_Past_Performance_Sheet.pdf

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Fee Collection Services @ Blackhawk Park
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W912ES-15-T-0025
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Past Performance

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ATTACHMENT

PAST PERFORMANCE REFERENCE FORM

CONTRACTOR PAST PERFORMANCE INFORMATION

1. Name of Offeror: ___________________________________________________________________

3. Reference # 1:

Name and Title: ______________________________________________________________

Organization Name: ___________________________________________________________

Phone Number: ______________________________________________________________

Email Address: _____________________________________________________________

4. Project Name: ____________________________________________________________________

5. Contract Number: _________________________________________________________________

6. Contract Amount: _________________________________________________________________

7. Period of Performance: _____________________________________________________________

8. Project Description: _______________________________________________________________

9. List any concerns with quality of work, timeliness, and customer satisfaction that your points of contact or clients may express, what the circumstances were that led to those concerns, and any corrective action taken by your firm:

10. Reference # 2:

Name and Title: ______________________________________________________________

Organization Name: ___________________________________________________________

Phone Number: ______________________________________________________________

Email Address: _____________________________________________________________

11. Project Name: ____________________________________________________________________

12. Contract Number: _________________________________________________________________

13. Contract Amount: _________________________________________________________________

14. Period of Performance: ____________________________________________________________

15. Project Description: _______________________________________________________________

16. List any concerns with quality of work, timeliness, and customer satisfaction that your points of contact or clients may express, what the circumstances were that led to those concerns, and any corrective action taken by your firm:

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