Attachment 15 Draft Past Performance Rating Form.pdf

FA2486-20-F-1004

Attachment 15

PAST PERFORMANCE RATING FORM

PAST PERFORMANCE PROJECT IDENTIFICATION (To be filled out by the Offeror):

CONTRACTOR NAME: Click here to enter text.

CONTRACT NUMBER: Click here to enter text.

ORDER NUMBER (if applicable): Click here to enter text.

PROJECT TITLE: Click here to enter text.

TOTAL PERIOD OF PERFORMANCE,

INCLUDING OPTIONS: MM/YYYY -

MM/YYYY or MM/YYYY - Present

Click here to enter text.

Period of Performance for THIS INDIVIDUAL rating form: (cannot exceed 12 months)

Click here to enter text.

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

NAME: Click here to enter text.

TITLE: Click here to enter text.

AGENCY or CUSTOMER: Click here to enter text.

PHONE: Click here to enter text.

E-MAIL: Click here to enter text.

SIGNATURE OF RATER: (Person who can verify the data - Government Contracting Officer, Contracting Officer Representative, Government Program Manager, Etc)

For each of the five (5) criteria listed below, the rater must choose one (1) Adjectival Rating by checking the box, as applicable. Additional text is limited to no more than 200 words.

1. QUALITY OF SERVICE

Rating Adjectival

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 evaluated 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 evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was 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 evaluated reflects a serious problem for which the

Attachment 15 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 a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

2. SCHEDULE

benefit. The contractual performance of the element or sub-element being evaluated was benefit. The contractual performance of the element or sub-element being evaluated was

Marginal

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Attachment 15

3. COST CONTROL

benefit. The contractual performance of the element or sub-element being evaluated was benefit. The contractual performance of the element or sub-element being evaluated was of the element or sub-element being evaluated reflects a serious problem for which the timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

4. Management (or Business Relations) benefit. The contractual performance of the element or sub-element being evaluated was benefit. The contractual performance of the element or sub-element being evaluated was of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions

Attachment 15 timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

5. Regulatory Compliance benefit. The contractual performance of the element or sub-element being evaluated was benefit. The contractual performance of the element or sub-element being evaluated was of the element or sub-element being evaluated reflects a serious problem for which the timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.