Selection and Evaluation of Contractors for Services, Goods Works.docVIP

SELECTION AND EVALUATION OF CONTRACTORS FOR SERVICES, GOODS WORKS General Information Contract number: Contract Duration: Start date: End date: Contract amount: Currency of contract: Brief description of deliverables: Selection of contractor Selection: Contractor selected: SAP/Vendor number: Reason for choice of contractor: Previous known evaluation s satisfactory? Yes No Procurement method for contracts Direct single source procurement for ?USD?5,000 : Price comparison: Direct single source procurement for LTA : Request for quotation Request for proposal: Invitation to bid: Waiver to competitive bidding Y/N: Yes No Waiver to competitive tendering if applicable on AM Item 10.2. select : Reason Annex?I to be completed : Contracts Committee date of meeting: Budget Code/ s : Waiver justification to be attached in Waiver Form Annex?I indicating that best value for money has been secured. How many technically compliant competitive offers were considered for financial evaluation: If less than 3, please state reasons: Approval of selection Name of manager responsible for contract: Sector/Bureau/Field Office: Signature: Date: Name of Director of Division/Bureau/Head of Field Office: Signature: Date: Approval of waiver if applicable for contracts? ?US$?50,000 to US$?150,000 Name of ADG/Director of Division/Bureau/Head of Field Office if not approving officer in 8 : Signature: Initial Annex?I Date: Name of certifying officer AO : Signature: Date: Evaluation of contractor Overall evaluation of performance A. Exceptional B. Very Good C. Good/Satisfactory D. Acceptable/Average E. Poor Remarks: Part of final payment to be withheld? Yes No Would you consider this contractor for another assignment? Yes No If NO, please state reasons: Would you recommend this contractor to a colleague? Yes No If NO, please state reasons: Name of manager responsible for the contract: Sector/Bureau/Field Office: