ATTCH L.pdf

PAST PERFORMANCE REPORT

1. Contractor Name and 2. Contract/Order Number:

Address: Contract/Order Value (Base Plus Options):

(Identify Division)

3. Award Date:

4. Completion Date:

5. Type of Contract: (Check all that apply) --

FFP T&M CPAF CPFF Bank Card ID/IQ Requirements BPA Labor Hour Simp. Acq.

Sealed Bid Negotiated Competitive Sole Source

6. Description of Requirement:

7. Ratings. Summarize contractor performance and circle in the row below each item the number which corresponds to the performance rating for each rating category. Please see below for explanation of rating scale.

Quality: Compliance with contract Comments requirements, accuracy, appropriateness of personnel, technical excellence

Not Applicable 1 2 3 4 5

Customer Service: Satisfaction of end Comments users, team approach with customer, positive customer feedback, courteous interactions, prompt responses

Not Applicable 1 2 3 4 5

Timeliness of Performance: Reliable, Comments responsive, completed on time, no liquidated damages assessed

Not Applicable 1 2 3 4 5

Business Relations: Effective mgt., Comments businesslike correspondence, flexible, prompt notification of problems, proactive, effective solutions

Not Applicable 1 2 3 4 5

8. Would you select this firm again? Please explain.

9. Name: Signature:

Title: Phone: Date:

RATING SYSTEM 1 Unsatisfactory 2 Marginal 3 Average 4 Good 5 Excellent

Issues compromised the achievement of requirements

Issues required major Agency resources to ensure achievement of requirements

Issues required minor Agency resources to ensure achievement of requirements

Issues did not impact achievement of requirements No issues.

Requirements were achieved within cost, on time, and in conformance with contract.

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