Section_J _Attachment_3 _QASP_Attch_1_PAR.docx

Section A: General Information

4. Contracting Officer Representative (COR):

Section B: Performance

5. Finding Documentation New Deficiency

Repeat Deficiency

No Deficiency Noted

6. Suspense Date [ click and select ]

7. Services Summary or SOW Paragraph Item Reviewed

Add

Row Delete

Row

8. COR Observations

Add

Row Delete

Row

9.

Detailed

Performance

Assessment

Section C: Contractor Validation

[ click and select ]

12. Corrective Action and Prevention of Recurrence OR Reason for Non-Concurrence of QAP Cited Deficiency

Performance

Assessment Report

(PAR)

Page of

Section D: Deficiency Resolution

13. Action Corrected: Concur Non-Concur

Date

[ click and select ]

14. COR Remarks (Required)

15. Contractor Representative Remarks

Performance Assessment Report (PAR) Instructions

Section A: General Information

Block 1. Contracting Officer Representative (COR) enters contractor name.

Block 2. COR enters contract or task order number.

Block 3. COR enters type of services.

Block 4. COR signs, dates and enters contact information.

Section B: Performance

Block 5. COR checks all boxes that apply to the assessment findings.

Block 6. COR assigns suspense date for Contractor Representative validation if a deficiency box was checked in Block 5. Block 7. QAP/COR enters Services Summary or Statement of Work (SOW) paragraph item reviewed.

Block 8. COR enters brief description of deficiency and tracking number if the deficiency box was checked in Block 5. Detailed description will be on Corrective Action Report (CAR).

Block 9. COR enters a detailed performance assessment if the deficiency box in Block 5 was not checked.

Parts II and III will be used only if a deficiency was documented in Part I.

Section C: Contractor Validation

Block 10. Contractor Representative checks one box in response to COR cited deficiency. If Concurrence is indicated, Contractor Representative continues to Block 11. If Non-Concurrence is indicated, continue to Block 12 and state reason(s) for Non-Concurrence with COR cited deficiency and return PAR to COR.

Block 11. Contractor Representative enters Estimated Completion Date of Corrective Action and continues to Block 12.

Block 12. Contractor Representative details Corrective Action and the Action Taken to Prevent Recurrence or Reason for Non- Concurrence of COR cited deficiency.

Section D: Deficiency Resolution

Block 13. COR checks appropriate block, signs, and dates.

Block 14. (Required Entry) COR remarks regarding the Corrective Action and the Action Taken to Prevent Recurrence. If Non-Concur was checked, this block should be very detailed to explain why.

Block 15. Contractor Representative enters remarks if further discussion is needed about COR concurrence with Contractor's Corrective Action and Action Taken to Prevent Recurrence.