USAID Iraq contract document: iirii_rfp031002attach16

M/OP-03-053 ATTACHMENTS 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: 4. Contract Value (TEC): $ 5.Description of Work/Services: 6. Problems (if encountered on this contract please explain corrective action taken) 7. Contacts (Name, Telephone # and E-mail Address): a. Contracting Officer: Phone Number: Email Address: b. Technical Officer: Phone Number: Email Address: c. Other: 8. Offeror: 9. Information Provided in Response to RFP No. M/OP-03-053 ATTACHMENTS 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: Information Collected By: Name: Name/Office: Phone/Fax/Internet address: Signature ______________________________ Date: OMB NO.: 9000-0142