47PB0019R0002_Solicitation_Exhibit_16_Past_Performance_Reference_Form.doc
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- Attached to
- Operations and Facilities Maintenance Services at the John F. Kennedy Federal Building in Boston, MA
- Solicitation number
- 47PB0019R0002
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47PB0019R0002 Solicitation Exhibit 16 Past Performance Reference Form
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U.S. General Services Administration
Public Buildings Service
New England Region
Solicitation 47PB0019R0002
JFK Operations and Maintenance
Exhibit 16 Past Performance Reference Form
FOR OFFICIAL USE ONLY (When Filled In)
CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR) -
(Source Selection Sensitive Information)(See FAR 3.104)
SERVICES
INFORMATION TECHNOLOGY
OPERATIONS SUPPORT
| 1. NAME/ADDRESS OF CONTRACTOR (Division) |
| 2. |
INITIAL
INTER-MEDIATE
FINAL
REPORT
ADDENDUM
3. PERIOD OF PERFORMANCE BEING ASSESSED
| CAGE CODE |
| DUNS+4 NUMBER |
| 4a. CONTRACT AND ORDER NUMBER |
| 4b. DoD BUSINESS SECTOR & SUB-SECTOR |
| FSC OR SERVICE CODE |
| SIC Code |
| 5. CONTRACTING OFFICE (ORGANIZATION AND CODE) |
| 6. LOCATION OF CONTRACT PERFORMANCE (If not in item 1) |
| 7a. CONTRACTING OFFICER |
| 7b. PHONE NUMBER |
| 8. CONTRACT AWARD DATE |
| 9. CONTRACT COMPLETION DATE |
10.
N/A
| 11. AWARDED VALUE |
| 12. CURRENT CONTRACT DOLLAR VALUE |
13.
COMPETITIVE
NON-COMPETITIVE
14. CONTRACT TYPE
FFP
FPI
FPR
CPFF
CPIF
CPAF
MIXED
OTHER
15. KEY SUBCONTRACTORS AND DESCRIPTION OF EFFORT PERFORMED
16. PROGRAM TITLE AND PHASE OF ACQUISITION (If applicable)
17. CONTRACT EFFORT DESCRIPTION (Highlight key components, technologies and requirements; key milestone events and major modifications to contract during this period.)
CURRENT RATING
| 18. EVALUATE THE FOLLOWING AREAS |
| PAST Rating |
| Unsatisfactory |
| Marginal |
| Satisfactory |
| Very Good |
| Exceptional |
| N/A |
a. QUALITY OF PRODUCT OR SERVICE
b. SCHEDULE
c. COST CONTROL
d. BUSINESS RELATIONS
e. MANAGEMENT OF KEY PERSONNEL
f. OTHER AREAS
(1)
(2)
FOR OFFICIAL USE ONLY (When Filled In)
FOR OFFICIAL USE ONLY (When Filled In)
19. N/A
20. PROGRAM MANAGER (OR EQUIVALENT INDIVIDUAL) RESPONSIBLE FOR PROGRAM, PROJECT, OR TASK/JOB ORDER EXECUTION NARRATIVE (SEE PARA. 1.3)
| 21. TYPE NAME AND TITLE OF PROGRAM MANAGER (SEE PARA. 1.3) |
| ORGANIZATION & CODE |
| PHONE NUMBER |
| SIGNATURE |
| DATE |
22. CONTRACTOR COMMENTS (Contractor’s Option)
| 23. TYPE NAME AND TITLE OF CONTRACTOR REPRESENTATIVE |
| PHONE NUMBER |
| SIGNATURE |
| DATE |
24. REVIEW BY REVIEWING OFFICIAL (Comments Optional)
25. TYPE NAME AND TITLE OF REVIEWING OFFICIAL
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ORGANIZATION AND CODE
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PHONE NUMBER
| SIGNATURE |
| DATE |
FOR OFFICIAL USE ONLY (When Filled In)
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