ATT4_PERFORMANCE_ASSESSMENT_FORM.docx

CONTRACTOR PERFORMANCE ASSESSMENT FORM

The Contracting Officer’s Representative will use a performance assessment form to document and assess the Contractor’s performance under this contract. The form, when completed, will document the Contracting Officer’s Representative’s , understanding of contract requirements, what was actually performed, and the impact or consequences of any requirements not performed or completed.

The Contracting Officer’s Representative will assess each technical requirement or related service in accordance with the following definitions of contractor performance. The Contracting Officer’s Representative must substantiate all tasks that s/he judges to be indicative of “superior” or “unacceptable” performance. Performance at the “acceptable” level is expected from the Contractor. Contractor performance will be assessed and identified as “superior,” “acceptable,” or “unacceptable”.

USDA Forest Service, Savannah River Machine and Hand Tree Planting Performance Assessment Form

Task Order No. ____________________________

a) Self – Inspection forms completed correctly and submitted as required.

a

Contractor notifies COR on a timely basis of any;

a) Work force changes.

b) Operating / working schedule.

c) Request for seedlings.

a b c

a) Contractor notifies Fire Dispatch of work location when arriving and leaving the site as required.

a

a) All contract personnel wearing and using required safety PPE.

b) Communication on site at all times.

c) Equipment being operated in a safe manner.

a b c

a) Locked gates – Contract personnel closing and locking security gates after entering and exiting work sites.

b) Security Badges and property passes – are being protected and tracked by the Contractor.

c) Assigned gate keys – Are being protected and tracked by the Contractor.

a b c

a) Seedlings are being properly handled.

b) Seedlings are being stored in seedling boxes when not in the process of being planted.

a b

a) Contract personnel not blocking access roads in or around planting sites with equipment.

b) Contract personnel maintaining required working distance of 25 ft. away from power lines during planting operation.

a b

a) Contract personnel protecting all stand boundary lines and site improvements from damage during planting operations.

a

a) Contract personnel operating equipment in a manner causing the least disturbance to soil.

b) All machine planting is being performed following the lands natural contours.

a b

a) Machine Planting.

b) Hand Planting.

a b

*Unacceptable Performance Explain in detail on page 2.

Period of Inspection Dates: (mm/dd/yyyy) to (mm/dd/yyyy)

Inspection(s) Performed by: ________________________________________________

CONTRACTING OFFICER’S REPRESENTATIVE (COR)

_______________________________________________ DATE: _______ / _______ /_______

CONTRACTOR / CONTRACTOR’S REPRESENTATIVE

Attachment 4