ATTACHMENT_02_Past_performance_sheet.docx

ATTACHMENT 02

PROJECT TITLE: Neutralizing Buffered Peptone Water (nBPW) for powder 400 mL, 25 mL and 10 mL

I. Contract Information

A. Name of Company Being Evaluated ______________________________________

B. Address __________________________________________________

C. Contract Number __________________________________________________

D. Contract Type __________________________________________________

II. Description of Contract

Briefly describe the services provided under this contract.

During the contract performance being evaluated, this firm was the:

Prime Contractor; Significant Subcontractor; Team Member; Other (Describe)

Does a corporate or business relationship exist between the firm being evaluated and your organization? Yes No If so, please describe: ________________________________________________________________________

PROJECT TITLE: SAFE HANDLING INSTRUCTIONS – PHASE 2

III. Evaluator Information

Name ______________________________________________________

Title ______________________________________________________

Agency/Company ______________________________________________________

Address ________________________________________________________________

Phone ________________________________ E-mail:__________________________

IV. Relevant Experience

1. Discuss the contractor's strengths or weaknesses in conducting Consumer Marketing Research services.

2. Did the contractor provide qualified personnel in a timely fashion and were the individuals that were proposed used throughout the contract?

3. Identify any other strengths or weaknesses or any concerns you had concerning contractor’s performance.

PROJECT TITLE: SAFE HANDLING INSTRUCTIONS – PHASE 2

V. Past Performance History

Please rate Contractor performance in each of the four categories. Circle the number which corresponds to the performance rating for each category. See the attached page for explanation of the rating scale. In addition, comments will be beneficial so please comment when appropriate.

1. Quality of Services Rating

Comments:

2. Timeliness Rating

Comments:

3. Cost/Price Control Rating

PROJECT TITLE: SAFE HANDING INSTRUCTIONS – PHASE 2

4. Business Relations Rating

PROJECT TITLE: SAFE HANDLING INSTRUCTIONS – PHASE 2

Rating Guidelines:

5= Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4= Very Good

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3= Satisfactory

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2= Marginal

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

1= Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A=Not Applicable