ATTACHMENT J.10 - PAST PERFORMANCE INFORMATION.pdf

SOL-720656R00008 Efficiencies for Clinical HIV/AIDS Outcomes (ECHO)

ATTACHMENT J.10- PAST PERFORMANCE INFORMATION

CONTRACTOR PERFORMANCE REPORT - SHORT FORM

PART I: Contractor Information (to be completed by Prime)

1. Name of Contracting Entity:

2. Contract Number:

3. Contract Type:

4. Contract Value (TEC): (if subcontract, subcontract value)

5. Problems: (if problems encountered on this contract, explain corrective action taken)

6. Contacts: (Name, Telephone Number and E-mail address) 6a. Contracting officer:

6b. Technical Officer (COR):

6c. Other:

7. Contractor:

9. Information Provided in Response to RFP No. :

PART II: Performance Assessment (to be completed by Agency)

1. Quality, including overall performance to accomplish logistic planning, success in meeting quality objectives and consistency in meeting goals and targets.

2. Cost control, including forecasting costs as well as accuracy in financial reporting.

3. Schedule, including the timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule variance).

4. Management, addressing the history of professional behavior and overall business-like concern for the interest of the customer, including the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts, cooperative attitude in remedying problems, and timely completion of all administrative requirements, management of key personnel, including appropriateness of personnel for the job and prompt and satisfactory changes in personnel when problems with clients where identified.

5. Regulatory Compliance, including compliance with all terms and conditions in the awards relating to applicable regulations and codes (financial, environmental, safety, and other reporting requirements).

6. Utilization of Small Business, for prime offerors who are not small business concerns, their utilization of Small Business concerns as subcontractors, including efforts in achieving small business participation goals.

7. Other.

[Note: The actual dollar amount of subcontracts, if any, (awarded to the Prime) must be listed in Block 4 instead of the Total Estimated Cost (TEC) of the overall contract. In addition, a Prime may submit attachments to this past performance table if the spaces provided are inadequate; the evaluation factor(s) must be listed on any attachments.]