Appendix C - Performance Assessment Report.pdf

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Performance Assessment Report (PAR) Page of Updated: 9 Jun 16 Section A: General Information

4. Quality Assurance Personnel (QAP) / Contracting Officer Representative (COR):

Section B: Performance

5. Finding Documentation

7. Services Summary or SOW Paragraph Item Reviewed Row # Performance Objective PWS Para.

Performance Threshold Method of Surveillance

8. COR Observations Row # Observation Section C: Contractor Validation

10. Contractor Representative Section D: Deficiency Resolution

13. Action Corrected:

INSTRUCTIONS

Section A: General Information

Block 1. Quality Assurance Personnel (QAP) or Contracting Officer Representative (COR) enters contractor name.

Block 2. QAP/COR enters contract or task order number.

Block 3. QAP/COR enters type of services.

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

Section B: Performance

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

Block 6. QAP/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. QAP/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. QAP/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 QAP/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 QAP/COR cited deficiency and return PAR to QAP/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 QAP/COR cited deficiency.

Section D: Deficiency Resolution

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

Block 14. (Required Entry) QAP/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 QAP/COR concurrence with Contractor's Corrective Action and Action Taken to Prevent Recurrence.

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