Attachment J.3 Past Performance Information Short Form.docx
DOCX document 20 KB Posted
- Attached to
- USAID Bednet Distribution Project in the Democratic Republic of Congo (DRC) Amendment 02
- Solicitation number
- 72066019R0011
About this file
This document contains a past performance evaluation template and details of a federal contract opportunity with USAID. The past performance template is to be completed by an applicant and reference to provide feedback on previous awards. It requests information on awarding entity, number, type and value. Additionally, it includes questions on performance related to quality, timeliness, cost control and management.
The related federal contract opportunity is an amendment from USAID for an Insecticide Treated Nets distribution project in the Democratic Republic of Congo. The scope involves supporting the national malaria control program to achieve and maintain universal coverage of ITN through mass and school-based distribution in targeted provinces. The activity will not include bednet procurement as that is handled by another USAID mechanism. USAID and the DRC national malaria control program are the key involved parties.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE REPORT – SHORT FORM
PERFORMANCE REPORT - SHORT FORM
PART I: Award Information (to be completed by Applicant)
1. Name of Awarding Entity:
2.Award Number:
3. Award Type:
4. Award Value (TEC): (if subagreement, subagreement value):
5. Problem: (if problems encountered on this award, explain corrective action taken)
6. Contacts: (Name, Telephone Number and E-mail address)
6a. Agreement/Contract Officer:
6b. Technical Officer (AOR/COR):
6c. Other:
7. Recipient:
8. Title/Brief Description of Product/Service Provided:
9. Information Provided in Response to RFA/RFP No.:
10. Does a PPIRS/CPARS Record Exist (Yes/No):
PART II: Performance Assessment (USAID will ask the Reference to Complete)
1. How well Recipient/Contractor performed:
1a. Quality of product or service, including consistency in meeting goals and targets, and cooperation and effectiveness in fixing problems. Comment:
1b. Timeliness of performance, including adherence to 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:
1c. Cost control, including forecasting costs as well as accuracy in financial reporting. Comment:
1d. Management, including satisfactory business relationship to clients, initiation and management of several complex activities simultaneously, management of personnel, coordination among subawardees and developing country partners, prompt and satisfactory correction of problems, and cooperative attitude in fixing problems. Comment:
1e. Regulatory compliance. Comment:
2. Specify instances of good or poor performance, especially in the most critical areas. Comment:
3. List significant achievements and/or problems. Comment:
File details come from the government source that posted it. Updated .