Attachment_1.pdf

HQ-NRL 4335/1 (Rev. 8-05) (Front)

PAST PERFORMANCE REPORT

SOLICITATION NO.

N00173 -

I. CONTRACTOR IDENTIFICATION (Complete all information or mark N/A)

CONTRACTOR NAME SUBCONTRACTOR/CONSULTANT TO

CONTRACT NUMBER CONTRACT TYPE

PERIOD OF PERFORMANCE INITIAL CONTRACT COST/PRICE CURRENT CONTRACT COST/PRICE

DESCRIPTION OF SUPPLIES OR SERVICES PROVIDED

II. PREPARED BY

ORGANIZATION

NAME/TITLE TELEPHONE NUMBER

SIGNATURE DATE

III. RATING SCALE

RATING SCALE SCORING

EXCEPTIONAL - Exceeded many contractual requirements to the Government's benefit 4

VERY GOOD - Met contractual requirements and exceeded some to the Government's benefit 3

SATISFACTORY - Met contractual requirements 2

MARGINAL - Did not meet some contractual requirements 1

UNSATISFACTORY - Did not meet most contractual requirements 0

IV. PAST PERFORMANCE QUESTIONS

A. PERFORMANCE HISTORY

Rate questions in accordance with the rating scale above, as applicable, by selecting one of the numbers.

1. ADHERENCE TO CONTRACT DELIVERY SCHEDULES?

4 3 2 1 0 N/A

7. SUBMISSION OF REQUIRED PROPOSALS IN A TIMELY MANNER?

2. TIMELY SUBMISSION OF REQUIRED REPORTS AND DOCUMENTATION?

4 3 2 1 0 N/A

8. RESPONSIVENESS TO TECHNICAL DIRECTIONS AND/OR CONTRACT

CHANGE ORDERS?

3. ACCURACY AND COMPLETION OF REPORTS AND DOCUMENTATION?

4 3 2 1 0 N/A

9. TIMELY, ACCURATE, AND APPROPRIATE CONTENT OF PROBLEM

TRACKING/REPORTING DOCUMENTATION?

4. ABILITY TO SOLVE CONTRACT PERFORMANCE PROBLEMS WITHOUT

EXTENSIVE GUIDANCE FROM GOVERNMENT COUNTERPARTS?

4 3 2 1 0 N/A

10. EFFECTIVENESS IN INTERFACING WITH GOVERNMENT'S STAFF?

5. DISPLAYED INITIATIVE IN MEETING REQUIREMENTS?

4 3 2 1 0 N/A

11. ADHERENCE TO THE KEY PERSONNEL REQUIREMENTS THROUGHOUT

THE PERFORMANCE OF THE CONTRACT?

6. COMMITTED ADEQUATE RESOURCES TO THE CONTRACT TO MEET THE

REQUIREMENT AND TO SUCCESSFULLY SOLVE PROBLEMS?

4 3 2 1 0 N/A

12. EFFECTIVE COORDINATION AND INTEGRATION OF SUBCONTRACTOR

MANAGEMENT?

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

4 3 2 1 0 N/A

4 3 2 1 0 N/A

4 3 2 1 0 N/A

4 3 2 1 0 N/A

4 3 2 1 0 N/A

4 3 2 1 0 N/A

PWoodhouse Typewritten Text N00173-13-R-PW10, Attachment 1

PWoodhouse Typewritten Text

B. TERMINATION HISTORY

1. HAS THE CONTRACT BEEN PARTIALLY OR COMPLETELY TERMINATED FOR DEFAULT OR CONVENIENCE? (If yes, explain below (e.g., inability to meet cost, performance, or delivery schedules.))

No Yes: Default Convenience

EXPLAIN "YES" ANSWER:

2. ARE THERE ANY PENDING TERMINATIONS? (If yes, explain and indicate the status below.)

No Yes

EXPLAIN "YES" ANSWER:

C. COST HISTORY

1. ADHERENCE TO THE ORIGINAL COST ESTIMATES/TARGETS?

No Yes

2. DID THE CONTRACTOR OVERRUN OR UNDERRUN THE CONTRACT AMOUNT? (If yes, explain reason for cost overrun or underrun below.)

Overrun UnderrunNo Yes:

EXPLAIN "YES" ANSWER:

WOULD YOU SELECT THIS FIRM AGAIN? (Explain)

HQ-NRL 4335/1 (Rev. 8-05) (Back)

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104