Contractor Performance Report.docx

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Attached to
2009-N-11318 Federal contract opportunity
Solicitation number
2009-N-11318
Issued by
Department of Health and Human Services Centers for Disease Control and Prevention Office of Acquisition Services

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Attachment J.3

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Attachment J.2

CONTRACTOR PERFORMANCE REPORT (OMB No: 9000-0142 [ ] Final [ ] Interim-Period Report

1.Contractor Name and Address 2.Contract Number
3.Contract Value (Base Plus Options):
4.Contract Award Date:
5.Contract Completion Date:
6.Type of Contract: (Check all that apply) [ ] CR [ ] FP [ ] FP-EPA [ ] CPFF-Completion [ ] CPFF-Team [ ] CPIF [ ] CPAF [ ] ID/IQ [ ] BOA [ ] Requirements [ ] Labor Hour [ ] T&M [ ] SBSA 8(a) [ ] SBIR [ ] Sealed Bid [ ] Negotiated [ ]Competitive [ ] Non-Competitive [ ] Other (Specify)
7.Description of Requirement:

8. Ratings. Summarize contractor performance and circle in the column on the right the number which corresponds to the performance rating for each rating category. Please see page three for explanation of rating scale.

QUALITY OF PRODUCT OR SERVICE

Comments: 0 5___

COST/VALUE CONTROL

Comments:

0
1
2
3
4
5+____

TIMELINESS OF PERFORMANCE

Comments: 0 5+____

BUSINESS RELATIONS

Comments: 0 5+____

Total

MEAN SCORE (Divide total rating above the number of areas rated):

9. KEY PERSONNEL

Project Manager: Name: _____________________ Employment Dates __________________ Comments/Rating:

Name: ______________________ Employment Dates __________________ Comments/Rating:

Name: ______________________ Employment Dates ___________________ Comments/Rating

Name: ________________________ Employment Dates ___________________ Comment/Rating:

Page 3 of 5
10.Would you select this firm again? Please explain.

11. Project Officer Name: Signature:

Date:

12.CONTRACTORS REVIEW: Were comments, rebuttals, or additional informational provided?
[ ] No [ ] Yes Please attach comments.

13. Contractor Name: Signature:

Date:
Phone

Fax:

Internet address:

14.AGENCY REVIEW: Were Contractor comments reviewed at a level above the contracting officer?
[ ] No [ ] Yes Comments Attached.

15. FINAL RATINGS: Re-assess the Block 7 rating based on contractor comments and agency review. Validate or revise as appropriate.

Quality _________ Cost Control ________ Timeliness ____________ Business Relations __________

Mean Score (Add the ratings above and divide by number of areas rated): ___________________

16. Contracting Officer’s Name: Signature: _________________________

Phone:Date: __________________________
FAX#:
Internet Address:

Rating Guidelines

Summarize contractor performance in each of the rating areas. Assign each area a rating of 0 (Unsatisfactory), 1 (Poor), 2 (Fair), 3 (Good), 4 (Excellent), or ++ (Plus). Use the following instruction as guidance in making these evaluations.

Business
Quality of Product/ServiceCost ControlTimelinessRelations
-Compliance with contract-Within budget (over/under -Net interim milestones-Effective Management
requirementstargeted costs)-Reliable-Businesslike-Accuracy of reports-Current, accurate, and -Responsive to technical correspondence
-Appropriateness of personnelcomplete billingsdirection-Responsive to contract
-Technical excellence-Relationship of Negotiated -Completed on time, including requirements
costs to actualwrap-up and contract-Prompt notification of
-Cost efficiencies administration problems
-Change orders-No liquidated damages -Reasonable/cooperative
assessed -Flexible
-Pro-active
-Effective contractor
recommended solutions
-Effective small/small

disadvantaged business subcontracting program

0. UnsatisfactoryNonconformance areCost issues areDelays are compromisingResponse to inquiries
compromising achievement Compromising performancethe achievement oftechnical/service/
of contract requirementsof contract requirementscontract requirements,administrative issues is
despite use of Agencydespite use of Agencynot effective and
resourcesresources.Responsive
1. PoorNonconformance requireCost issues require majorDelays require majorResponse to inquiries
major Agency resources toAgency resources to ensureAgency resources totechnical/service/
ensure achievement ofachievement of contractensure achievement ofadministrative issue is
contract requirementsrequirementscontract requirementsmarginally effective and
responsive
2. FairNonconformance requireCost issues require minorDelays do not impactResponse to inquiries
minor Agency resources toAgency resources to ensureachievement of contracttechnical/service/
ensure achievement ofachievement of contractrequirementsadministrative issue is
contract requirementsrequirementsusually effective and
responsive
3. GoodNonconformance do notCost issues do not impactDelays do not impactResponse to inquiries
impact achievement ofachievement of contractachievement of contracttechnical/service/
contract requirementsrequirementsrequirementsadministrative issue is
usually effective and
responsive
4. ExcellentThere are no qualityThere are no cost issuesThere are no delaysResponse to inquiries
problemstechnical/service/
administrative issues is
effective and responsive

5. Plus The contractor has demonstrated an exceptional performance level in any of the above four categories that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances when contractor performance clearly exceeds the performance levels described as “Excellent”.

Contractor Performance Report Instructions

Block 1: Contractor Name and Address. Identify the specific division being evaluated if there is more than one.

Block 2: Contract number of contract being evaluated.

Block 3:Contract value shall include base plus options. If funding was increased or decreased during the instant evaluation period, the value in this
block should reflect the change.

Block 4: Contract award date and anticipated or anticipated contract completion date.

Block 5: Type of contract: Check all that apply

Block 6: Provide a brief description of the work being done under the contract and identify the key performance indicators. This description will allow agencies calling for reference checks to compare statements of work.

Block 7:Circle rating in far right column and provide brief narrative for each of the categories rated.
Indicate the contract requirement that were exceeded or were not met by the contractor and by
how much. Also calculate the mean score of the ratings.
Block 8:List the name and employment dates of the contractor’s key personnel. This will provide a
record of how long these managers worked on the contract. If there were many changes in these
managers a second page may be necessary. On the comment/rating line briefly describe the
managers performance.
Block 9:If given a choice, please explain why you would or why you would not select the
contractor for this contract again.
Block 10:The program office person most familiar with the contractor’s performance should
sign this block. The rating is a combined program office, contracting officer decision.
The contracting officers signature in Block 15, signifies concurrence with this rating
and the final rating, if a revised rating is necessary.
Block11-12:The Contractor may provide comments but must sign block 12 to indicate review of
the rating.
Block 13:If the contractor and contracting officer are unable to agree on a final rating, an
agency review at a level above the contracting officer is required.
Block 14:Adjust the rating assigned in block 7, if appropriate, based on any comments,
rebuttals, or additional informational provided by the contractor and, if necessary, by
the agency review. Calculate a mean score of the contractor’s performance.
Block 15:The contracting officer’s signature certifies concurrence with the initial and final
ratings.

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