Attachment_J.2_Contractor_Performance_Report_-_Short_Form.docx

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Strengthening Tenure and Resource Rights II (STARR II)
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SOL-OAA_17-000012
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Attachment J.2: Contractor Performance Report (Short Form)

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Attachment J.2: Contractor Performance Report - Short Form Template

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:

Dates:
4. Contract value (TEC):

5. Description of Work/Services:

6. Problems: (If problems encountered on this contract, explain corrective action taken.) N/A

7. AED Contact (Name, Telephone # and E-Mail Address):

a. Contracting Officer:

b. Technical Officer (COTR):

8. Offeror:

9. Information Provided in Response to RFP No.:

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

1. Technical (Quality of product or Service). Comment:

2. Schedule/Timeliness. Comment:

3. Cost Control. Comment:

4. Management or Business Relations. Comment:

5. Utilization of Small Business Subcontracting, if applicable. Comment:

6. Regulatory Compliance. Comment:

7. Other Areas. Comment:

Information Provided By: Phone/Fax/Internet address Date:
Name:

Information Collected By: Name/Office: Signature:

OMB NO.: 9000-0142

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