Attachment J.9 Contractor Performance Reference Sheet.docx

DOCX document 25 KB Posted

Attached to
USAID Maintained Epidemic Control of HIV (MECH) Activity Federal contract opportunity
Solicitation number
720611
Issued by
US Agency for International Development Zambia

About this file

This document contains a Contractor Performance Reference Sheet template and information about a federal contract opportunity from the US Agency for International Development in Zambia. The contract is for the Maintained Epidemic Control of HIV activity under solicitation number 720611. The purpose of the activity is to reduce HIV mortality, morbidity, and transmission by achieving 95/95/95 treatment coverage goals and providing comprehensive HIV prevention, care, and treatment maintenance services in Luapula, Northern, and Muchinga provinces of Zambia. The activity will also aim to strengthen public financial management systems in provinces where USAID has government-to-government agreements. The Contractor Performance Reference Sheet is a template for references to provide ratings on quality, timeliness, cost control, business relations, regulatory compliance, and utilization of small businesses for prime contractors.

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Text version

ATTACHMENT J.9 – CONTRACTOR PERFORMANCE REFERENCE SHEET

1. Reference Information

Name of Individual Providing Reference

Date Reference Provided

Employer

Activity Name e-mail

Phone

Begin Date

End Date

Dollar Value

2. Description of Scope of Work/Tasks

[Please provide a brief description of the services the offeror provided]

3. Performance Information

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: Click here to enter text.

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.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Comments: Click here to enter text.

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

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Comments: Click here to enter text.

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.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Comments: Click here to enter text.

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 (use table in the appendix for definitions).:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Comments:

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.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Comments:

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