Attachment_2_FINAL_HISS_QASP_13_Sep_17.pdf

13 SEPTEMBER

Inspection of Services

Contracting Office Responsibilities

Combating Trafficking in Persons

Non-systems Information Technology

Non-systems Information Technology

Inspection of Services – Fixed Price Inspection of Services – Cost Reimbursement

24 Aug 2017

YARBOROUGH.ALEC.R.1027014301 Digitally signed by YARBOROUGH.ALEC.R.1027014301 Date: 2017.08.25 07:00:59 -04'00'

BOOKER.BRODERICK.W.1113864040

Digitally signed by BOOKER.BRODERICK.W.1113864040 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=BOOKER.BRODERICK.W.1113864040 Date: 2017.08.25 09:06:04 -04'00'

FLOWERS.TRACY.J.1229992453 Digitally signed by FLOWERS.TRACY.J.1229992453 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=FLOWERS.TRACY.J.1229992453 Date: 2017.08.25 07:13:33 -04'00'

APPLONIE.STANTON.JJ.1152576176

Digitally signed by

APPLONIE.STANTON.JJ.1152576176

Date: 2017.08.25 09:15:16 -04'00'

GMEHLIN.MARKUS.P.1087279320

Digitally signed by GMEHLIN.MARKUS.P.1087279320 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=GMEHLIN.MARKUS.P.1087279320 Date: 2017.08.25 10:02:31 -04'00'

CONTRACTING OFFICER REPRESENTATIVE (COR)

PERFORMANCE ASSESSMENT REPORT (PAR)

MONTHLY or ROUTINE AIR FORCE RESERVE COMMAND [Insert Organizational Symbol]

1. DATE OF REPORT

REPORTING

PERIOD COVERED

(dates)

3. CONTRACT NAME/PROGRAM TITLE

4. CONTRACT NO. CONTRACTOR

NAME

6. SUMMARY OF COR SURVEILLANCE RESULTS (See COR Observations below for details)

[Required for monthly PAR only. COR addresses the planned work to be accomplished during the period, actual work completed, quality and timeliness of deliverables, areas of compliance and non-compliance to include accomplishments, areas for improvement and status of PARs or CARs. Add continuation sheet, if needed.]

7. COR SIGNATURE

8. COR SUPERVISOR REVIEW/COORDINATION

9. CO REVIEW/COORDINATION

10. CONTRACTOR'S ACKNOWLEDGEMENT

(Required for negative COR observations only)

Performance Objective PWS Para.

Performance Threshold

Method of Surveillance

COR Observations

(Add Continuation Sheet, if needed)

CORRECTIVE ACTION REPORT (CAR)

(If more space is needed, use a continuation sheet and identify by contract number/control number)

1. CONTRACTOR NAME 2. CONTRACT NUMBER/TASK

ORDER

4. COR’s FUNCTIONAL AREA/OFFICE SYMBOL 5. SUSPENSE DATE

7. DEFICIENCY MAJOR MINOR

FINDING:

FINDING IMPACT:

Contractor: Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5.

8. CONTRACTING OFFICER REPRESENTATIVE PERSONNEL (COR)

TYPED/PRINTED NAME AND GRADE SIGNATURE AND DATE

9. ISSUING AUTHORITY (Contracting Officer)

TYPED/PRINTED NAME AND GRADE SIGNATURE AND DATE

10. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE

11. COR DETERMINATION

ACCEPTED REJECTED

12. CO CONCURRENCE/SIGNATURE AND DATE

o o o