ATTACHMENT_C_Past_Performance_Questionaire.pdf

Contractor Performance Assessment Input Form

Contract:

Contractor:

Program Title:

Contract Performance:

Period of Assessment:

Please assess the above contractor’s performance in the below areas. The narrative should include positive and negative statements to match the rating below each section.

1. Quality of Product or Service: Assessment based on the contractor’s conformance to contract requirements, specifications and standards of good workmanship to included ability to accommodate change. Please include any issues related to Quality of Product or Service.

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable

2. Schedule: Assessment based on the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements to include responding to any correspondences. Please include any issues related to Schedule.

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable

3. Cost Control: Assessment based on the contractor’s effectiveness in forecasting, managing, and controlling contract cost. If the contract is Firm-Fixed Prices or Firm-Fixed Price with Economic Price Adjustment, please mark “Not Applicable”

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable

4. Management of Key Personnel: Assessment based on the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. Is contractor managing subcontractors in order to meet the requirements of the contract.

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable

5. Small Business: This area applies only to domestic contracts. Is the contractor in compliance with the terms and conditions of the contract related to small business participation.

Is the contractor meeting small business goals? Is the contractor making a good faith effort to meet small business subcontracting goals?

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable

5. Regulatory Compliance: Is the contractor in complainace with all regulations and codes regarding financial, environmental, labor, and safety. Is the contractor meeting the reporting requirements in a timely manner?

Please rate the above contractor substantiated by the above narration, according to the following ratings:

____ Exceptional ____ Very Good ____Satisfactory ____ Marginal ____ Unsatisfactory ____Not Applicable