Attachment_III_-_Past_Performance.pdf

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Attached to
WareHouse Ceiling Fans for ECBC
Solicitation number
W91ZLK-17-T-0068
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Attachment III - Past Performance Worksheet Please use a separate worksheet for each contract used to establish past performance.

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1. Contract Number:

2. Contractor (Name and Address):

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

4. Complexity of Work: Difficult _____ Routine _____

5. Description, location, and relevancy of work:

6. Contract Dollar Value: __________________

Status: Active _____ Completed ______

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

8. Type and Extent of Subcontracting:

9. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting Officer and/or the Contracting Officer’s Representative (and other references—e.g., Administrative Contracting Officer—if applicable):

Attachment III - Past Performance

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