Attachment_C_-_Contractor_Performance_Assessment_Questionnaire.pdf

ATTACHMENT B

SOLICITATION SPE600-15-R-0512

KOREA ARMY GOCO

CONTRACT PERFORMANCE ASSESSMENT FORM

GENERAL INFORMATION (Offeror to complete this portion)

Contractor Name (Name of Company or Organization)

Name of Point of Contact/Email Address Phone Number Original Contract Price

Name of Contractor Contract Number Period of Performance

Period of Performance Contract Type Worked Performed as: Place of Performance

Firm Fixed Price Cost Reimbursement Other ________________

Prime Contractor Sub-Contractor Prime Name: ______________

Joint Venture

Brief Description of work/supplies furnished to Customer

CLIENT INFORMATION (Reference to complete this portion)

Client Information

Name of Person Interviewed / Completing Questionnaire Title Email Address

Client’s Signature and Date

PLEASE RETURN THIS FORM WITH THE COMPLETED QUESTIONNAIRE TO:

(Contract Specialist: Orin R. Smith, orin.smith@dla.mil, 703-767-9527)

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

GENERAL GUIDANCE FOR COMPLETING QUESTIONNAIRE

A. The questionnaire should be completed by the individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of service being rendered. However, that individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.

B. Handwritten responses are sufficient. However, request they be legible.

C. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included after each question and on the last page of the survey. If more space is needed, use the back of the survey or attach additional pages.

D. As the survey relates to an ongoing source selection for the services identified in the cover letter, request that all information provided within the survey be safeguarded against unauthorized disclosure.

E. The following description should be used as a guide in providing element ratings:

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NOTE: The adjectival ratings Exceptional, Very Good, Satisfactory, Marginal, and Unacceptable reflect the ratings in the Contractor Performance Rating System (CPARS). However under the DOD’s streamlined process for evaluating Past Performance under Lowest Price Technically Acceptable, ratings of Acceptable and Unacceptable must be used. Therefore the Contracting Officer has determined that CPARS/Survey ratings of Exceptional, Very Good and Satisfactory will equate to an Acceptable rating. Ratings of Marginal and Unacceptable will equate to an Unacceptable rating.

Contractor Performance Assessment Input Form

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”

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

6. 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

Period of Performance