Attachment J.1 Self-Assessment Template.docx

CONTRACTOR PERFORMANCE SELF-ASSESSMENT

INSTRUCTIONS: Provide a detailed narrative and rating for each of the relevant evaluation areas. Narratives must substantiate your rating selection. The contractor should use the Guidance for the Contractor Performance Assessment Reporting System (CPARS) to assist in preparation of the self-assessment. If further direction is required on how to complete this self-assessment or where to submit it, please contact your Contracting Officer.

CONTRACTOR

CONTRACT NUMBER

ADDRESS

ORDER NUMBER

CITY / STATE/ ZIP

CONTRACTING OFFICER’S REP

CONTRACTING OFFICER

1. Quality |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

2. Schedule |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

3. Cost Control |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

4. Management |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

5. Small Business Subcontracting |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

6. Regulatory Compliance |_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

COMMENTS:

7. Other Area:

|_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

8. Other Area:

|_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

9. Other Area:

|_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

10. Other Area:

|_| N/A |_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

Additional comments to support your response to any item above.

Completed by:

Name:

Title:

Phone Number:

Email Address:

Signature:

Date:

RATING

DEFINITION

NOTE

To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

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.

To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that contractors will not be evaluated with a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.

Marginal

Performance does not meet some contractual requirements. The contractual performance of the 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.

To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

EVALUATION RATING DEFINITIONS