Atch (L-5) Contractor Performance Assessment Questionaire (CPAQ).docx
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Text version
Attachment L-5 Contractor Performance Assessment Questionnaire
From: Naval Air Warfare Center Training Systems Division (NAWCTSD), Contracts Department 12211 Science Drive, Orlando, FL 32826
CONTRACTOR PERFORMANCE ASSESSMENT QUESTIONNAIRE
FOR SOLICITATION: N6134023R0065
Submit completed contractor performance assessment questionnaire (see Section L) to:
Evan Denove (evan.t.denove.civ@us.navy.mil)
(1) Name of Contractor questionnaire is being completed for:
(2) Contract Number:
(3) Role Contractor played in Prior Contract
Prime
Joint Venture Team Member
Subcontractor
(4) Proposed Role in Pending Contract
Prime
Joint Venture Team Member
Subcontractor
(5) Period of performance evaluated for the contract reference of the Offeror:
(6) Contract type (FFP, Cost; Product delivery or Service?):
| (7) Contract values for contractor identified in Block (1): |
| a. Overall contract value (identify prime contractor): |
b. Value awarded to Contractor for Interactive Courseware:
(8) Brief description of contract product or service scope:
(9) Is Performance by Contractor, Block (1), on this contract being reported in CPARS
No, complete page 2 of questionnaire
Yes, answer question (i) below
(i) Has the scope of work significantly changed since the last CPAR?
No
Yes, provide details in (iv) below
(ii) Have there been any significant changes in contractor performance between the last CPAR and now?
No
Yes, answer question (iii) below
(iii) Has an out-of-cycle CPAR been initiated to document changes in performance?
No, provide details of changes in (iv) below
Yes
(iv) Comments to support answers to questions (i), (ii) and (iii):
(10) Name of agency/company completing questionnaire:
(11) Name of person completing questionnaire:
(12) Email address of person completing questionnaire:
(13) Title of person completing questionnaire:
(14) Phone number of person completing questionnaire:
(15) Date questionnaire is being completed:
RATING SCALE: Please use the following ratings to answer the questions on page 2.
| Rating |
| Definition |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| 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. |
| Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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. |
| 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 serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Neutral |
| No record exists. |
| N/A |
| (Not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation |
NOTE: For statements indicating less than “Satisfactory”, please provide a brief explanation in the comments section of the survey.
| CONTRACTOR PAST PERFORMANCE EVALUATION SURVEY |
| N/A |
| Neutral |
| Unsatisfactory |
| Marginal |
| Satisfactory |
| Very Good |
| Exceptional |
a.) QUALITY OF PRODUCT OR SERVICE:
b.) SCHEDULE:
c.) PROGRAM MANAGEMENT AND SUBCONTRACT MANAGEMENT
COMMENTS (Please provide comments to support the ratings you provided above:
a.) QUALITY OF PRODUCT OR SERVICE:
b.) SCHEDULE:
c.) PROGRAM MANAGEMENT AND SUBCONTRACT MANAGEMENT
Source Selection Information. See FAR 3.104.
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