Attachment J.2 - Contractor Past Performance Reference Form - Fillable.pdf

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Conserving Biodiversity Activity
Solicitation number
72066822R00006
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USAID Conserving Biodiversity Activity RFP No. 72066822R00006

Attachment J.2

ATTACHMENT J.2

PAST PERFORMANCE REFERENCE FORM

USAID/South Sudan, Juba is seeking relevant past performance information for a USAID solicitation, RFP 72066822R00006 for which the selected offeror will provide technical assistance to strengthen conservation of biodiversity that benefits both people and wildlife in the Boma-Bandingilo Landscapes (BBL).

Please provide some brief feedback and select one of the ratings for each of the sub-criteria below. A table of the definitions for each of the ratings is included on the last page of this form.

Please respond by April 25, 2022 at 09:00 AM Juba, South Sudan Time, by sending this feedback directly to USAID/South Sudan by email to JubaOAA-EG@usaid.gov, with a copy to jailewis@usaid.gov. Please label the Subject Line of the email as “USAID Conserving Biodiversity Activity - [Name of Offeror]-Past Performance.”

If you have any additional questions or comments, please feel free to email the points of contact identified above.

Thanks for your time in responding. Your feedback is greatly appreciated in assisting the TEC in its evaluation process.

Name of Individual Providing Reference Date Reference Provided

Employer Activity Name

E-mail Address Begin Date End Date

Telephone Number Dollar Value

1. Reference Information

2. Description of Scope of Work/Tasks [Please provide a brief description of the services the offeror provided.]

Attachment J.2

1. Please rate your satisfaction with the quality of product or service, including consistency in meeting goals and targets.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Comments:

2. Please rate 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 rate the Contractor’s ability to control costs, including forecasting costs as well as accuracy in financial reporting and rating.

4. Please rate the quality of business relations and overall management, 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.

3. Performance Information

5. For prime offerors who are not small business concerns, please rate their utilization of small business concerns as subcontractors, including efforts in achieving small business participation goals and rating.

6. Please rate their regulatory compliance, such as reporting in accordance with contract terms and conditions, late or nonpayment to subcontractors, trafficking violations, tax delinquency, defective cost or pricing data, terminations, etc.

RATING TABLE

Adjective Past Performance Definition

Exceptional The offeror’s performance of previously awarded relevant contract met contractual requirements and exceeded many to the government’s benefit. The company performed with very few or minor problems, for which corrective actions taken were, or are, expected to be highly effective. Performance of completed contracts was either consistently of the highest quality or exhibited a trend of becoming so. The offeror’s past performance record leads to an extremely strong expectation of successful performance.

Very Good The offeror’s performance of previously awarded relevant contracts met contractual requirements and exceeded some to the government’s benefit. The company performed with some minor problems, for which corrective actions taken were or are expected to be effective.

Performance of completed contracts was either consistently of high quality or exhibited a trend towards becoming so. The offeror’s past performance record leads to a strong expectation of successful performance.

Satisfactory The offeror’s past performance of previously awarded relevant contracts met contractual requirements. The company performed with some problems, for which corrective actions taken by the contractor were, or are expected to be, effective. Performance of completed contracts was consistently of adequate or better quality or exhibited a trend toward becoming so. The offerors past performance record leads to an expectation of successful performance.

Marginal The offeror’s performance of previously awarded relevant contracts did not meet some contractual requirements. The contractor’s performance reflected some serious problems for which the contractor either failed to identify or implement corrective actions in a timely manner, or for which the correctible actions implemented were, or are expected to be, only partially effective. Performance of completed contracts was consistently of mediocre quality or exhibited a trend toward becoming so. The offeror’s past performance record leads to an expectation that successful performance might be difficult to achieve or that it can occur only with increased levels of government management and oversight.

Unsatisfactory The offeror’s performance of previously awarded relevant contracts did not meet most contractual requirements and recovery, if any, did not occur within the stated period of performance. The contractor’s performance reflected serious problems for which the offeror either failed to identify or implement corrective actions were mostly ineffective. Performance of completed contracts was consistently of poor quality or a trend toward becoming so. The offeror’s past performance record leads to a strong expectation that successful performance would not be achieved or that it can occur only with greatly increased levels of government management and oversight.

Neutral The offeror lacks a record of relevant or available past performance history. Based on this, there is no expectation of either successful or unsuccessful performance.

Name of Individual Providing Reference:
Date Reference Provided:
Activity Name:
Email Address:
Begin Date:
End Date:
Telephone Number:
Dollar Value:
Exceptional: Off
Very Good: Off
Satisfactory: Off
Marginal: Off
Unsatisfactory: Off
Exceptional_2: Off
Very Good_2: Off
Satisfactory_2: Off
Marginal_2: Off
Unsatisfactory_2: Off
Exceptional_3: Off
Very Good_3: Off
Satisfactory_3: Off
Marginal_3: Off
Unsatisfactory_3: Off
Exceptional_4: Off
Very Good_4: Off
Satisfactory_4: Off
Marginal_4: Off
Unsatisfactory_4: Off
Exceptional_5: Off
Very Good_5: Off
Satisfactory_5: Off
Marginal_5: Off
Unsatisfactory_5: Off
Exceptional_6: Off
Very Good_6: Off
Satisfactory_6: Off
Marginal_6: Off
Unsatisfactory_6: Off
Adjective:
Past Performance Definition:
Exceptional_7:
Very Good_7:
Satisfactory_7:
Marginal_7:
Unsatisfactory_7:
Neutral:
Employer:
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Check Box19: Off
Check Box20: Off
Check Box21: Off
Check Box22: Off
Check Box23: Off
Check Box24: Off
Check Box25: Off
Check Box26: Off
Check Box27: Off
Check Box28: Off
Check Box29: Off
Check Box30: Off
Check Box31: Off
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