Attachment J.04 - Task Order Evaluation Form.pdf

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Attached to
Technical and Management Support for Health Promotion Activities 2008
Solicitation number
2008-N-10240
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Attachment J04 Task Order Evaluation

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Contractor Evaluation Form

Contractor Performance Evaluation Report This form is to be completed by the Technical Monitor (TM) annually.

If the project exceeds12 months, than evaluations will be done annually and at the end of the performance period. Completed evaluations are to be forwarded to Project Officer and Contracting Officer for review.

1. Contract Number 2. TO Number 3. TO Title

4. TO Award Date 5. TO Completion Date 6. Total Cost 7. TO Type: ____T&M ___FFP

___CPFF

8. A. Prime Contractor

B. Principal Subcontractor(s) (List the prime’s subcontractors that worked on the this TO)

Technical Performance

Factors/Ratings High (4)

Good (3)

Moderate (2)

Low (1)

Not Applicable

(N/A)

1. Completion of major tasks/milestones/ deliverables on schedule.

2. Responsiveness to changes in technical direction.

3. Ability to identify risk factors and alternatives for alleviating risk.

4. Ability to identify and solve problems expeditiously.

5. Ability to employ standard tools/methods (e.g.

standards, commercial products, info. engineering tools.)

Management Performance

(4)

Good (3)

Moderate (2)

Low (1)

Not Applicable

(N/A)

6. Overall communication with the Government.

7. Effectiveness and reliability of Contractor’s Key Personnel.

8. Ability to recruit and maintain qualified personnel.

9. Ability to manage multiple and diverse projects/tasks from planning through execution.

10. Ability to effectively manage subcontractors.

11. Ability to meet goals for use of Small, Small Disadvantaged, and Woman Owned Small Business subcontractors.

(4) Good (3)

Moderate (2)

Low (1)

Not Applicable

(N/A)

12. Ability to accurately estimate and control costs to complete tasks.

13. Overall performance in planning, scheduling, and monitoring.

14. Use of management tools (e.g. cost/schedule, tasks management tools).

Customer Satisfaction

(4)

Good (3)

Moderate (2)

Low (1)

Not Applicable

(N/A)

15. How would you rate the Contractor’s overall technical performance on this contract/order?

16. How would you rate the Contractor’s overall management performance on this contract/order?

17. How would you rate the Contractor’s ability to be cooperative, business-like and concerned with the interests of the customer?

9. Additional Comments:

10. Would you use contractor again? ____Y ____N (Please Explain)

11. List the Major Technical Deliverables delivered during this TO:

Title Description Date Due

Date Rec’d

Date Eval Submitted

1.

2.

3.

4.

5.

12. TM Name

13. TM Signature 14. Date

15. PO Name

16. PO Signature 17. Date

File details come from the government source that posted it. Updated .