Attachment 4 - Past Performance Form.pdf

1 Outreach Support RFP - Attachment 4

CONTRACTOR PAST PERFORMANCE REPORT

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

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

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):

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)

6a. Contracting officer:

1 Outreach Support RFP - Attachment 4

6b. Technical Officer (COR):

6c. Other:

7. Contractor:

9. Information Provided in Response to RFP No. :

PART II: Performance Assessment (to be completed by the contact person named in Part I above)

1. Quality of product or service, including consistency in meeting goals and targets. Comment:

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

3. Schedule, including the timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance).

Comment:

4. Business relations, addressing the history of professional behavior and overall business-like concern for the interests of the customer, including the Offeror’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts, cooperative attitude in remedying problems, and timely completion of all administrative requirements. Comment:

5. Management of key personnel, including appropriateness of personnel for the job and prompt and satisfactory changes in personnel when problems were/are identified. Comment:

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. Comment: