1 - USAid

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[8. Key Personnel/Sl lL(act~"
I A. Key Personnel (name, title, employ dates)
(1) Name:
B. Subcontractors I Name of firm, value of conu CI\,;l, begin/end dates)
I (1) Name:
Value:
T Begin Date:
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(2) Name:
Value:
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I Begin Date:
(3) Name:
I I Value: Begin Date: Title:
1
(2) Name:
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I Title:
(3) Name:
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Title:
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Employment Dates:
I Employment Dates:
I Employment Dates:
lEnd Date:
I End Date:
I End Date:
9.Would you select the firm again? Please explain. (answer only for the final and not interim evaluation)
10. CTO's Name/Org. id
Phone/Fax Number:
I Date Sent to Contractor:
Sent by: (initials)
11. Contractor's Review. Did the contractor provide comments, rebuttals, or additional information? I ]Yes [ ]No
If yes, did the Agency agree with the contractor's response? [ JYes [ I No If no, see block 13.
12. Contractor's Contact I Date Received by Agency:
Phone, Fax, or Internet Address
Rec'd by: (initials)
13. Agency Review. Were differences with contractor reviewed at a level above the contracting officer?[ JYes [ INo
- If yes, please attach review decision. If no, please explain below.
14.Final Ratings. Validate or revise scores in Block 7 based on contractor's comments and Agency's review.
Quality Cost Control Timeliness Customer Satisfaction
USAID
Mean Score (Add the ratings above and divide by the number of areas rated) 0.00
15. CO's Name Signature
Phone, Fax, or Internet Address
Date
Note: This evaluation may be usecrtO support future award decissions and therefore lStreated as SOURSE SELECTION
I INFORMATION .
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AID 1420-66 (1-98) page 2
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