ATTACHMENT_10-Contractor_Performance_Evaluation.docm

ATTACHMENT 10

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

[ ] 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:

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:

11. Project Officer Name: Signature:

Date:

13. Contractor Name: Signature:

Fax:

Internet address:

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: _________________________

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 5++ (Plus). Use the following instruction as guidance in making these evaluations.

disadvantaged business subcontracting program

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 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.