Attachment J.5 - Past Performance Cover Page.pdf
PDF 64 KB Posted
- Attached to
- Rehabilitation of Two (2) Pharmaceutical Depots/Warehouses in Grand Gedeh and River Gee Counties
- Solicitation number
- 72066924Q00002-Rehabilitation-HealthDepots
About this file
This document is the Attachment J.5 - Past Performance Cover Page, which is a template for a Contractor Performance Report related to a federal contract. The template includes fields for the contractor to provide information about the contracting entity, contract number, type, value, description of work, problems encountered and corrective actions taken, and key contacts such as the Contracting Officer and Technical Officer. This template would be submitted by a contractor as part of their response to the related federal contract opportunity.
The related federal contract opportunity is Solicitation Number 72066924Q00002 for the Rehabilitation of Two (2) Pharmaceutical Depots/Warehouses in Grand Gedeh and River Gee Counties, Liberia. The solicitation is being issued by USAID/Liberia to fund the renovation of two county medical depots in order to improve the storage conditions for pharmaceutical supplies and ensure the efficacy of drugs and bed nets. The solicitation does not provide specific details on the required products or services, response dates, award dates, pricing terms, or set asides.
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Text version
ANNEX 1: CONTRACTOR PERFORMANCE REPORT
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:
4. Contract Value (TEC):
5. Description of Work/Services:
6. Problems: (If problems encountered on this contract, explain corrective action taken.)
7. Contacts (Name, Telephone # and E-mail Address)
a. Contracting Officer:
b. Technical Officer (COR):
c. Other:
8. Offeror:
9. Information Provided in Response to RFP No.:
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