J.03 contractor performance report form.doc

DOC document 53 KB Posted

Attached to
Impact Evaluation Services Federal contract opportunity
Solicitation number
MCC-10-0011-RFP
Issued by
Millennium Challenge Corporation

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Attachment J.03 Contractor Performance Report (word version)

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Amendment 01.pdf PDF
Amendment01wordcopy-MCC-10-0011.doc DOC document
J.04Project Information.docx DOCX document
MCC-10-0011-RFP.pdf PDF

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Text version

PAGE

Standard

Contractor Performance Report Evaluation Type: Interim _ Final _ (check one)

Evaluating Organization:
Reporting Period: From to
Contracting Office:
Contract Number:
Order Number:
Contractor Name:
Contractor Address:
DUNS:
City:
State:

Additional or Alternate Contractor Name:

Zip/Postal Code:
Country:
TIN:
Industrial Code (NAICS):
Commodity Code:
Contract Type:
Contract Award Date:
Contract Expiration Date:
Contract Value:

Requirement Description:

Ratings

Summarize contractor performance and check the number which corresponds to the rating for each rating category (See attached Rating Guidelines).

Quality of Product or Service

_0=Unsatisfactory _1=Poor _2=Fair

_3=Good _4=Excellent

_5=Outstanding

Government Comments for Quality of Product or Service (2000 characters maximum):

Cost Control (Rating and Comments for Cost Control are not required if contract type is Fixed-Price)

_0=Unsatisfactory _1=Poor _2=Fair

_3=Good

Government Comments for Cost Control (2000 characters maximum):

Timeliness of Performance

_0=Unsatisfactory _1=Poor _2=Fair

_3=Good

Government Comments for Timeliness of Performance (2000 characters maximum):

Business Relations

_0=Unsatisfactory _1=Poor _2=Fair

_3=Good

Government Comments for Business Relations (2000 characters maximum):

Additional Info

Subcontracts

Are subcontracts involved?

__Yes __No (Check one)

Government Comment on subcontracts (2000 characters maximum):

Contractor Key Personnel

Contractor Manager/Principal Investigator (name):

Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum):

Contractor Key Person (name):

Government Comment on Contractor Key Person (2000 characters maximum):

Contractor Key Person (name):

Government Comment on Contractor Key Person (2000 characters maximum):

Small Business Subcontracting Plan

Did the contractor make a good faith effort to comply with its subcontracting plan consistent with the goals and objectives, reporting and other aspects of the plan?

_Yes _No _N/A (Check one)

If this is a bundled contract, did the contractor meet the goals and objectives for small business participation?

_Yes _No _N/A (Check one)

Government Comments on Small Business Subcontracting Plan (2000 characters maximum):

Small Disadvantaged Business Goals

Did the contractor make a good faith effort to comply with its subcontracting plan consistent with the goals and objectives, for small disadvantaged business (SDB) participation, monetary targets for SDB participation, and required notifications?

_Yes _No _N/A (Check one)

Government Comments on Small Disadvantaged Business Goals (2000 characters maximum):

Customer Satisfaction

Is/was the contractor committed to customer satisfaction?

_Yes _No (Check one)

Would you recommend the selection of this firm again?

_Yes _No (Check one) – FINAL REPORT ONLY Government Comments on Customer Satisfaction (2000 characters maximum):

Admin Info

Project Officer/COTR

Name:

Phone:

Fax:

E-mail Address:

Contractor Representative

Name:

Phone:

Fax:

E-mail Address:

Alternate Contractor Representative (Required to insure that at least one person is notified of evaluation) Name:

Phone:

Fax:

E-mail Address:

Contracting Officer:

Name:

Phone:

Fax:

E-mail Address:

Contractor Comments

Quality of Product of Service

___Contractor has elected not to comment

Contractor Comments for Quality of Product of Service (2000 characters maximum):

Cost Control

___Contractor has elected not to comment

Contractor Comments for Quality of Product of Service (2000 characters maximum):

Timeliness of Performance

___Contractor has elected not to comment

Contractor Comments for Timeliness of Performance (2000 characters maximum):

Business Relations

___Contractor has elected not to comment

Contractor Comments for Business Relations (2000 characters maximum):

Overall Comment

___Contractor has elected not to comment

Contractor Comments for Quality of Product of Service (2000 characters maximum):

Rating Guidelines

Quality of Product or Service

0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding

Unsatisfactory
Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.
Poor
Overall compliance requires significant Agency resources to ensure achievement of contract requirements.
Fair
Overall compliance requires minor Agency resources to ensure achievement of contract requirements.
Good
There are no, or very minimal, quality problems, and the Contractor has met the contract requirements.
Excellent
There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government.
Outstanding
The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

Cost Control

0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding

Unsatisfactory
Ability to manage cost issues is jeopardizing performance of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, this level of ability to manage cost issues constitutes a significant impediment in consideration for future awards.
Poor
Ability to manage cost issues requires significant Agency resources to ensure achievement of contract requirements.
Fair
Ability to control cost issues requires minor Agency resources to ensure achievement of contract requirements.
Good
There are no, or very minimal, cost management issues and the Contractor has met the contract requirements.
Excellent
There are no cost management issues and the Contractor has exceeded the contract requirements, achieving cost savings to the Government.
Outstanding
The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where the contractor achieved cost savings and performance clearly exceeds the performance levels described as "Excellent".

Timeliness of Performance

Unsatisfactory
Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards.
Poor
Delays require significant Agency resources to ensure achievement of contract requirements.
Fair
Delays require minor Agency resources to ensure achievement of contract requirements.
Good
There are no, or minimal, delays that impact achievement of contract requirements.
Excellent
There are no delays and the contractor has exceeded the agreed upon time schedule.
Outstanding
The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

Business Relations

Unsatisfactory
Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards.
Poor
Response to inquiries and/or technical, service, administrative issues is marginally effective.
Fair
Response to inquiries and/or technical, service, administrative issues is somewhat effective.
Good
Response to inquiries and/or technical, service, administrative issues is consistently effective.
Excellent
Response to inquiries and/or technical, service, administrative issues exceeds Government expectation.
Outstanding
The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

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OMB CLEARANCE NO. 9000-0142

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