Attachment J.7_Revised_Past_Performance_Questionnaire.docx
DOCX document 22 KB Posted
- Attached to
- Highlands Resilience Platform for Adaptive Learning (R-PAL) Activity Federal contract opportunity
- Solicitation number
- 72066321R00016
About this file
This document contains a past performance questionnaire template to be used for evaluating offerors for the USAID/Ethiopia Highlands Resilience Platform for Adaptive Learning (R-PAL) Activity. The past performance questionnaire requests information on up to three previous projects completed by the offeror, including project name, scope, location, period of performance, dollar value, and a performance rating in the areas of quality, timeliness, business relations, cost control, regulatory compliance, small business utilization, and key personnel. Offerors are to send the completed questionnaire directly to USAID Ethiopia, with responses due by the date specified in the associated solicitation. The related federal contract opportunity is solicitation number 72066321R00016 from USAID Ethiopia seeking proposals for the Highlands R-PAL Activity, which aims to establish an agile learning, research, and collaboration platform to facilitate joint action planning and enable evidence-based decision making for the Ethiopian Highlands.
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Text version
ATTACHMENT J.7 - PAST PERFORMANCE QUESTIONNAIRE
Please fill out the following questionnaire as clearly and as objectively as possible. The information you provide will be used for source selection purposes. Offeror, please send the filled out questionnaire directly to the United States Agency for International Development (USAID) in Ethiopia by email to caddis@usaid.gov.
SECTION A: (To be filled by the Offeror)
Offeror's Name: Click here to enter text.
Was the Offeror the Prime or Subcontractor on the project: Click here to enter text.
Project Name: Click here to enter text.
Project Scope/Description: Click here to enter text.
Primary Location (s) of Work: Click here to enter text.
Period of Performance: Click here to enter text. Dollar Value: Click here to enter text.
Name of Person Contacted: Click here to enter text. Phone No.: Click here to enter text.
Date Contacted: Click here to enter text. Employer: Click here to enter text.
Contact’s Role or Knowledge of the Project: Click here to enter text.
SECTION B: (To be filled by the contact person named in Section A above)
1. Please comment on your satisfaction with the Quality of product or service, including consistency in meeting goals and targets and rating.:
2. Please comment on the Timeliness of Contract Performance to include schedule, including the timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements and rating.: ______
3. Please comment on the Quality of Business relations, addressing the history of professional behavior and overall business-like concern for the interests of the customer, including the contractor’s history of reasonable and cooperative behavior: and rating.:
4. Please comment on the Contractor’s Ability to Cost control, including forecasting costs as well as accuracy in financial reporting and rating.:
5. Please comment on the contractor’s ability to comply with applicable regulations:
6. For prime offerors who are not small business concerns, their utilization of Small Business concerns as subcontractors, including efforts in achieving small business participation goals and rating.:
7. Please provide comments on Contractor’s Key Personnel and rating.:
Other Comments:
Signature of the Referee:
[END OF ATTACHMENT J.7]
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