J.10_-_CONTRACTOR_PERFORMANCE_REPORT.pdf
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- Solicitation number
- 72066318R00016
About this file
This document contains a contractor performance report template and instructions for its completion. The template requires information on the contract such as the project name and number, type of work, problems encountered, and contacts. It also includes a performance assessment section to be completed by the agency rating the contractor's quality, cost control, timeliness, customer satisfaction, and effectiveness of key personnel.
A separate federal contract opportunity posting seeks proposals to provide technical services supporting Ethiopia's electronic health information systems. Services include supporting IT systems and data repositories at all levels, building a culture of data use, and capacity building and governance of health ministry information systems. Proposals are requested by USAID/Ethiopia to advance the country's health information revolution and improve health services, quality of life, and a sustainable healthcare system through data-driven decision making.
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ATTACHMENT I I CONTRACTOR PERFORMANCE REPORT
CONTRACTOR PERFORMANCE REPORT
PART I: Contract Information (to be completed by Contracting Officer)
1. Name of Project:
2. Contract Number:
3. Contract Type:
4. Contract Value (TEC):
5. Description of Work/Services:
6. Problems: (If problems encountered on this contract, explain corrective action taken)
7. Contacts: (Name, Telephone Number and E-mail address) a.
b.
8. Prime or Subcontractor (Circle one)
9. Location of work :
PART II: Performance Assessment (to be completed by Agency)
1. Quality of product or service. Comment:
2. Cost control. Comment:
3. Timeliness of performance. Comment:
4. Customer satisfaction. Comment:
5. Effectiveness of key personnel. Comment:
Information Provided by: Information Collected by:
Name: Name/Office:
Phone/Fax/Internet Address: Signature:
Date: OMB No. 9000
| ATTACHMENT I SELF DISCLOSURE OF LOBBYING ACTIVITIES |
| Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) |
| INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES |
| ATTACHMENT II CONTRACTOR PERFORMANCE REPORT |
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