Attachment_J.5_-_CONTRACTOR__PERFORMANCE_REPORT_SHORT_FORM.docx

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Attached to
Capacity Building Activity Federal contract opportunity
Solicitation number
SOL-306-16-000041
Issued by
US Agency for International Development Afghanistan

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Attachment J.5 - CONTRACTOR PERFORMANCE REPORT SHORT FORM

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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 Number:

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 Number and E-mail address)

a. Contracting Officer:

b. Other:

8. Offeror:

9. Information Provided in Response to RFP No. :

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

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 user. Comment:

6. Effectiveness of key personnel. Comment:

Information Provided by: Information Collected by:

Name: Name/Office:

Phone/Fax/Internet Address: Signature: _______________________________

Date:

OMB No. 9000-0142

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