BISM Amendment 4 ATTACHMENT J-5 Past Performance Report Rev.1.docx

DOCX document 18 KB Posted

Attached to
Basic Infrastructure Support Mechanism (BISM) Federal contract opportunity
Solicitation number
72029423R00006
Issued by
US Agency for International Development

About this file

This document contains a past performance evaluation form and information on a federal contract opportunity for infrastructure support services in the West Bank, East Jerusalem, and Gaza. The Basic Infrastructure Support Mechanism (BISM) contract will obtain the services of a local construction contractor to address infrastructure needs in sectors such as health, democracy and governance, education, youth, water, and economic growth. The contractor will be expected to perform activities in compliance with the Taylor Force Act, which prohibits assistance that directly benefits the Palestinian Authority or increases its tax revenue. Offerors are required to provide relevant past performance references on the evaluation form for contracts of a similar size, scope, and complexity that have been completed within the past three years. The past performance evaluation will assess criteria such as quality, cost control, timeliness, customer satisfaction, and personnel effectiveness. The solicitation was issued by the U.S. Agency for International Development and responses are due by the specified closing date.

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Text version

Attachment J-5

CONTRACTOR PAST PERFORMANCE REPORT

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

Project description (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/References: (Name, Job Title, Telephone Number and E-mail address)

6a. Contracting officer:

6b. Technical Officer (COR):

6c. Other:

7. Contractor/subcontractor (clearly state whether the contract was performed by the Offeror in the capacity of prime contractor or as a subcontractor ):

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:

U.S. Agency for International Development (USAID) Project Title: BISM

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