Attachment J.4_Contractor Performance Report Short Form.docx

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USAID/Nigeria Blanket Purchase Agreement (BPA) for Financial Management and Oversight Support Services (FMOSS) to Strengthen Program Execution
Solicitation number
72062022R00013
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Contractor Performance Report – Short Form

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I. Contract Information (to be completed by Offeror)

1. Name of Contracting Entity:
2. Contract No.:

3. Contract Type:

Dates:
4. Contract value (TEC):

5. Description of Work/Services:

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

7. Contact (Name, Telephone # and E-Mail Address):

a. Contracting Officer:

b. Technical Officer (COR):

8. Offeror:

9. Information Provided in Response to RFP No.:

PART II. Performance Assessment (to be completed by Agency) DO NOT COMPLETE:

1. Quality of product or Service. Comment:

2. Cost Control. Comment:

3. Timeliness of performance. Comment:

4. Customer satisfaction - client. Comment:

5. Customer satisfaction - end users. Comment:

6. Effectiveness of key personnel. Comment:

7. Use of Small Business. Comment:

Information Provided By: Phone/Fax/Internet address Date:
Name:

Information Collected By: Name/Office: Signature:

OMB NO.: 9000-0142

File details come from the government source that posted it. Updated .