5. Attachment J.4 - Past Performance Questionnaire - Copy.pdf

Attachment J.4

U.S. Agency for International Development (USAID)

Project Title: Economic Reform Activity (ERA) Solicitation #: 72027819R00011

CONTRACTOR PAST PERFORMANCE REPORT

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

Project description(Max. 100 words):

Did this project include work with similar activities in a non-permissive environment(s)? Explain (Max 100 words):

Did this project include work leading towards a successful working relationship(s) with local authorities, CSOs, or others that led to concrete achievements in building stability and self-reliance? Explain (Max 100 words):

PART I: Contractor Information (to be completed by Prime)

1. Name of Contracting Entity

2. Contract Number:

3. Contract Type:

4. Contract Value (TEC): (if subcontract, subcontract value):

5. Problems: (if problems encountered on this contract, explain corrective action taken) -

6. Contacts: (Name, Telephone Number and E-mail address)

Attachment J.4

U.S. Agency for International Development (USAID)

Project Title: Economic Reform Activity (ERA) Solicitation #: 72027819R00011

6a. Contracting officer:

6b. Technical Officer (COR):

6c. Other:

7. Contractor:

9. Information Provided in Response to RFP No. :

PART II: Performance Assessment (to be completed by Agency)

1. Quality of product or service, including consistency in meeting goals and targets, and cooperation and effectiveness of the Prime in fixing problems. Comment:

2. Cost control, including forecasting costs as well as accuracy in financial reporting. Comment:

3. Timeliness of performance, including adherence to contract schedules and other time-sensitive project conditions, and effectiveness of home and field office management to make prompt decisions and ensure efficient operation of tasks. Comment:

4. Customer satisfaction, including satisfactory business relationship to clients, initiation and management of several complex activities simultaneously, coordination among subcontractors and developing country partners, prompt and satisfactory correction of problems, and cooperative attitude in fixing problems. Comment:

5. Effectiveness of key personnel including: effectiveness and appropriateness of personnel for the job; and prompt and satisfactory changes in personnel when problems with clients where identified. Comment: