Attachment 5 - Past Performance Report - Short Form.docx

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I: Contract Information - To be completed by Offeror

1. Name of Offeror:

2.Contract Number:

3. Contract Type:

4.Contract Value (TEC):

5. Project Name for Past Performance Reference:

Description of Work/Services Performed on the Project:

Term of Performance on the Project:

6. Problems: (if problems encountered on this contract, explain corrective action taken)

7. Project Contacts - This will be the name of a person(s) who can speak to your performance on the project and whom this form will be sent to for collecting feedback.

Name:

Phone:

E-mail:

7a. Contracting Officer Name:

Phone:

Email:

7b. Technical Officer:

Phone:

Email:

7c. Other POC:

Phone:

Email:

8. Past Performance Reference in Response to Solicitation No. X Entitled MITTS Brief RFP Description:

PART II: Performance Assessment – to be completed by the customer/client

1. Quality of contractors’ product or services, including consistence in meeting goals and targets, and cooperation and effectiveness of the Prime in fixing problems.

Comments:

2. Contractor’s ability to control cost, 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.

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.

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.

6. Past 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 adapting to changing circumstances, and timely completion of all administrative requirements.