Attachment_J.3_Past_Performance_Report_Form.docx

DOCX document 16 KB Posted

Attached to
Public Financial Management (PFM) II IDIQ Federal contract opportunity
Solicitation number
SOL-OAA-17-000022
Issued by
US Agency for International Development Washington Office

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Attachment J.3 Past Performance Report Form

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Past Performance Report 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. Quality of product or Service. Comment:

2. Cost Control. Comment:

3. Timeliness of performance. Comment:

4. Customer satisfaction - client. Comment:

5. Customer satisfaction - end users. Comment:

6. Effectiveness of key personnel. Comment:

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

Information Collected By: Name/Office: Signature:

OMB NO.: 9000-0142

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