Attachment 5 PAST PERFORMANCE EVALUATION FORM.doc

PAST PERFORMANCE EVALUATION FORM

1.Contractor:

2.Customer:

3.Contract Number:

Period of Performance:

4.Contract Type:

Negotiated

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Sealed Bid

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Fixed Price

Cost Reimbursement

IDIQ

Other

5.Complexity of Work:

Difficult:

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Routine:

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Ratings: Summarize contractor performance and circle the appropriate rating for each category.

Quality of Product and Processes: Rating:

Outstanding Highly Satisfactory Satisfactory

Marginal Unsatisfactory

(Compliance with contract requirements, accuracy of reports, appropriateness of personnel, and technical excellence)

Comments:

Timeliness of Performance: Rating: Outstanding Highly Satisfactory Satisfactory

Marginal Unsatisfactory

(Met interim milestones, reliable, responsive to technical direction, and completed on time)

Comments:

Customer Satisfaction: Rating:

Outstanding Highly Satisfactory Satisfactory

Marginal Unsatisfactory

(Satisfaction of end user with contractor’s responsiveness to inquiries and services provided)

Comments:

Would you select this firm again? Please explain.

Interviewee Name:

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Signature:

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Phone Number:

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Fax Number:

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Date:

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Interviewer Name:

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Signature:

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Phone Number:

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Fax Number:

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Date:

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