5. RFP Attachment J.3 Contractor Performance Information Form.pdf

Attachment J-3: Contractor Performance Information Form

PART I: Contractor Information (to be completed by Prime)

1. Name of Prime Offeror (& Sub-Offeror, if applicable):

2. Name of Contracting Entity/Government Agency:

3. Contract Number (and if applicable Task Order Number):

4. Contract Type:

5. Total Estimated Contract Value (TEC):

6. Total Obligated Value:

7. Extraordinary Problems (if extraordinary problems were encountered on this contract, explain corrective action taken, per FAR 15.305(a)(2)):

8. Contacts (please include Name, Telephone Number and E-mail address):

8a. Contracting Officer:

8b. Technical Officer/Contracting Officer’s Representative (COR):

9. Title of Award:

10. Scope of Work or Complexity/Diversity of Tasks:

11. Primary Location(s) of Work:

12. Is this Award listed in the Contractor Performance Assessment Reporting System (CPARS) - (please circle your response and attach if “yes” and available): YES NO UNKNOWN

PART II: Performance Assessment (to be completed by Agency, if record is not found in CPARS)

1. Quality: Assess technical activity critical to successful contract/order performance. Identify any additional evaluation aspects that are unique to the contract/order or that cannot be captured in another sub-element.

Circle Rating:

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Comment:

2. Schedule: Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance). Circle Rating:

3. Cost Control: Assess the contractor’s effectiveness in forecasting, managing, and controlling contract/order cost. Circle Rating:

4. Management: Assess the integration and coordination of all activity needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts.

Circle Rating:

5. Small Business Subcontracting: For Prime Offerors who are not small business concerns, assess whether the Contractor provided maximum practicable opportunity for Small Business, Small Disadvantaged

Businesses, Women Owned Small Businesses, HUBZone, Veteran Owned, Service Disabled Veteran Owned

Small Business, and ANCs and Indian Tribes to participate in contract or order performance consistent with efficient performance of the contract or order. Assess compliance with all terms and conditions in the contract or order relating to Small Business participation. Circle Rating:

5. Regulatory Compliance: Assess compliance with all terms and conditions in the contract/order relating to applicable regulations and codes, using the Evaluation Ratings Definitions in FAR Part 42.1503(h)(4) Table

42-1. Circle Rating:

6. Other: Specify additional evaluation areas that are unique to the contract/order, or that cannot be captured elsewhere in the evaluation. Comment:

7. Recommendation: Given what I know today about the contractor’s ability to perform in accordance with this contract or order’s most significant requirements, I WOULD or WOULD NOT (please circle your response) recommend them for similar requirements in the future.