ATTACHMENT C 36C10X23Q0265 PERFORMANCE WORK STATEMENT TEMPLATE.docx

SAMPLE PWS

B.3 PERFORMANCE WORK STATEMENT (PWS) Comment by Kauzlarich, Carey (Micah) (he/him/his): Notes:

1 - the PWS prepared by the respondent will replace the SOO and become the official requirements document of the contract.

2 - Remove/Update any sections based on the SOO. Many section should mirror the SOO. If a section is not applicable, it is OK to remove it. Ensure all SOO Sections are included.

3 - Submit this as WORD attachment with your quote.

4 - ASK THE CO/CS ANY QUESTIONS!!!

[TITLE OF REQUIREMENT]

1. Introduction. [Provide a background statement here.]

1. Scope. [Provide a summary of the scope and/or purpose of the requirement.]

1. Period of Performance. [Insert start and end dates. Specify option periods, if included.]

1. Place of Performance. [Contractor’s facility or Government facility. If Government, provide address and any other specific information.]

1. Travel. [If applicable, describe type of travel, locations, and frequency. Travel will not be allowed when virtual means of communication will suffice. Local travel within 50 miles is not reimbursable. Justification may be requested from program for required contractor travel.]

1. Task statement. [Provide detailed information regarding the tasks to be performed. For each task, include deliverables to be provided. Deliverables may be tangible, such as a report, or intangible, such as support services. Be as specific as possible so that the contractors will be able to estimate the amount of work required and price accordingly. Vague requirements will be returned to program for additional information.]

1. Delivery Schedule. [Complete the table below based on deliverables defined above]

1. Government-Furnished Information, Equipment, and Facilities. [If applicable, specify. Justification may be requested for GFE.]

1. Security Requirements. [If applicable, specify. VA 6500.6 Checklist, Appendix A must be completed and signed by COR, PM, ISO, and Privacy Officer. Include any special security requirements here such as background investigation levels, training, etc. that is not in the applicable Appendix C language.]

1. Key Personnel. [If applicable, specify. Include labor category, minimum requirements, and any other specifics. Key personnel are not required and should only be used when deemed necessary.]

1. Task Order Quality Assurance Surveillance Plan (QASP). [QASP is required for all Performance-Based Acquisitions (when PWS used). Complete table below based on requirements, and edit the surrounding paragraphs as appropriate. It is the responsibility of the TO COR to ensure review and contractor compliance with these standards.]

The Government shall evaluate the contractor's performance in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the government must do to ensure the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rates.

Standard Surveillance Method Outcome

[Insert]

[Example: Delivery of Services]

[Example: Quality of Deliverables] [Insert]

[Example: Services shall be provided in accordance with the Deliverable Schedule 100% of the time]

[Example: The services shall meet the requirements as outlined in Section X of this PWS]

[Example: Deliverables shall be free of grammatical and typographical errors 95% of the time] [Insert]

[Example: 100% inspection. The COR will review each Deliverable for quality/timeliness according to criteria established in this TO.] [Insert additional specifics as applicable. May include performance incentives or disincentives.]

Poor performance may result in issuance of a Contractor Discrepancy Report (CDR). The contractor’s performance on this TO will be reported to the Contractor Performance Assessment Reporting System (CPARS) on an annual basis. The CO and COR will make use of information from CDRs, as well as any additional knowledge and information available to them with respect to the contractor’s performance, to complete the CPARS.

The Government will not pay for services that do not conform or do not meet performance standards, or have not been properly rendered.

The contractor will be given an opportunity to correct non-conforming services at no cost to the Government if the services are non-conforming or the contract requirement is unacceptable.

The Contractor’s performance on this task order will be reported on an annual basis to the Contractor Performance Assessment Reporting System (CPARS). Poor performance may result in issuance of a Contractor Discrepancy Report (CDR). The CO and COR will make use of information from CDRs, as well as any additional knowledge and information available to them with respect to the contractor’s performance, to complete the CPARS.

The Government will not pay for services that do not conform or do not meet performance standards, or have not been properly rendered. The contractor will be given an opportunity to correct non-conforming services at no cost to the Government if the services are non-conforming or the contract requirement is unacceptable.