Copy of CISAAttachment J.6b.xls
XLS spreadsheet 34 KB Posted
- Attached to
- Clinical Immunization Safety Assessment (CISA) Federal contract opportunity
- Solicitation number
- 2012-N-14296
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Attachment 6b
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Text version
PBSA SURVEY
| PERFORMANCE BASED SERVICE EVALUATION SURVEY | |||||
| Performance Evaluation | |||||
| CONTRACTOR: | GOVERNMENT REQUIRING ACTIVITY | ||||
| CONTRACT NUMBER/ TITLE: | |||||
| PERIOD COVERED: | |||||
| Place an X in the appropriate response | |||||
| Performance Objectives for Evaluation | *** | ABOVE | BELOW | *** | |
| EXCELLENT | AVERAGE | AVERAGE | AVERAGE | POOR | |
| VALUE | 5 | 4 | 3 | 2 | 1 |
| A. MEETING TECHNICAL NEEDS: | |||||
| 1. What level of understanding does the contractor have of my technical needs | |||||
| and my mission requirements? | |||||
| 2. What level of efficiency and effectiveness does the contractor demonstrate in | |||||
| meeting my requirements? | |||||
| 3. Overall, how well does the contractor meet my technical needs and mission | |||||
| requirements? | |||||
| 4. Overall, the quality of the products/services provided are…. | |||||
| B. PROJECT STAFFING: | |||||
| 1. How current is the expertise of those contractors performing requested tasks? | |||||
| 2. Do contractor personnel possess the necessary knowledge, skills and | |||||
| ability to accomplish assigned tasks? | |||||
| 3. Are the staffing levels assigned by contractor appropriate for accomplishing | |||||
| the mission? | |||||
| C. PROJECT MILESTONES AND SCHEDULE: | |||||
| 1. How well does the contractor meet my established milestones and project | |||||
| dates? | |||||
| 2. How timely are products completed, reviewed, and delivered? | |||||
| 3. How well does the contractor notify me in advance about potential milestones | |||||
| and scheduling problems so that I have enough time to correct them? | |||||
| D. COST: | |||||
| 1. How would you assess the cost of the services being provided? | |||||
| (actual cost vs proposed cost) | |||||
| 2. How timely was the contractor's communications regarding changes in cost? | |||||
| 3. How timely was the contractor's submission of monthly cost vouchers? | |||||
| ** Ratings for a Performance Objective are calculated by adding the individual | |||||
| scores under a Performance Objective and dividing it by the number of sub-objectives | |||||
| under that Performance Objective. | |||||
| ****Poor ratings must be explained in Section II (Narrative Clarification) below | |||||
| II NARRATIVE CLARIFICATION | |||||
| (USE ADDITIONAL SPACE AS REQUIRED) | |||||
| Typed Name And Title of Government Project Lead/ Date |
&CPage &P
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