ATTACHMENT_J_9A__Past_Performance_Report_Template_Short_Form.pdf

ATTACHMENT J.9

PAST PERFORMANCE REPORT – SHORT FORM

PERFORMANCE REPORT - SHORT FORM

PART I: Award Information (to be completed by Applicant)

1. Name of Awarding Entity:

2.Award Number:

3. Award Type:

4. Award Value (TEC): (if subagreement, subagreement value):

5. Problem: (if problems encountered on this award, explain corrective action taken)

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

6a. Agreement/Contract Officer:

6b. Technical Officer (AOR/COR):

6c. Other:

7. Recipient:

8. Title/Brief Description of Product/Service Provided:

9. Information Provided in Response to RFA/RFP No.:

10. Does a PPIRS/CPARS Record Exist (Yes/No):

PART II: Performance Assessment (USAID will ask the Reference to Complete)

1. How well Recipient/Contractor performed:

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

1b. Timeliness of performance, including adherence to 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:

1c. Cost control, including forecasting costs as well as accuracy in financial reporting. Comment:

1d. Management, including satisfactory business relationship to clients, initiation and management of several complex activities simultaneously, management of personnel, coordination among subawardees and developing country partners, prompt and satisfactory correction of problems, and cooperative attitude in fixing problems. Comment:

1e. Regulatory compliance. Comment:

2. Specify instances of good or poor performance, especially in the most critical areas. Comment:

3. List significant achievements and/or problems. Comment: