Past Performance Short Form.pdf

PAST PERFORMANCE INFORAMTION SHORT FORM

Past Performance Report

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I: Contractor Information (to be completed by Prime)

1. Name of Contracting Entity:

2. Contract Number:

3. Contract Type:

4. Contract Value (TEC): (if subcontract, subcontract value)

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

6. Contacts: (Name, Telephone Number and E-mail address) 6a. Contracting officer:

6b. Technical Officer (CTO):

6c. Other:

7. Contractor:

9. Information Provided in Response to RFP No.:

PART II: Performance Assessment (to be completed by Agency)

1. Quality of product or service, including consistency in meeting goals and targets, and cooperation and effectiveness of the Prime in fixing problems. Comment:

2. Cost control, 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. Comment:

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. Comment:

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.

Comment:

[Note: The actual dollar amount of subcontracts, if any, (awarded to the Prime) must be listed in Block 4 instead of the Total Estimated Cost (TEC) of the overal1 contract. In addition, a Prime may submit attachments to this past performance table if the spaces provided are inadequate; the evaluation factor(s) must be listed on any attachments.]