Attachment 2 - Performance Assessment Report.pdf

ATTACHMENT 2

PEFORMANCE ASSESSMENT REPORT (PAR) |1a CONTROL #___________________________ (If more space is needed, use Continuation Sheet and identify by number)

1. CONTRACT/TASK ORDER NUMBER 2. CONTRACTOR 3. TYPE OF SERVICES

4. CONTRACTING OFFICER REPRESENTATIVE (COR) SIGNATURE AND DATE 5. COR PHONE 6. SUSPENSE DATE

I. PERFORMANCE

7. DEFICIENCY (CHECK ALL BOXES THAT APPLY)

NEW

REPEAT

8. SERVICES DELIVERY SUMMARY or PWS PARAGRAPH ITEM REVIEWED

9. BRIEF DESCRIPTION OF DEFICIENCY 10. DETAILED PERFORMANCE ASSESSMENT

II CONTRACTOR VALIDATION

11. CONTRACTOR REPRESENTATIVE CONCUR NON-CONCUR 12. CORRECTIVE ACTION ESTIMATED COMPLETION DATE ___________________________

13. CONTRACTOR REPRESENTATIVE CORRECTIVE ACTION AND PREVENTION OF RECURRENCE OR REASON FOR NON-CONCURRENCE OF QAP CITED

DEFICIENCY

III. ACTION CORRECTED

14. CONCUR NON-CONCUR COR SIGNATURE AND DATE

15. COR REMARKS (REQUIRED)

16. CONTRACTOR REPRESENTATIVE REMARKS

ATTACHMENT 2

The Continuation Sheet is to be used to expand on any information that will not fit in the applicable numbered block.

PERFORMANCE ASSESSMENT REPORT (PAR) |1a CONTROL #___________________________

Continuation Sheet (Number to correspond with applicable item Number on reverse)