Attachment (2) Past Performance Rating Form.pdf

CUI

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Standard Form 901 (11-18) Prescribed by GSA/ISOO | 32 CFR 2002

CUI

Controlled by: Army Controlled by: ACC-ORL CUI Category: General Procurement and Acquisition Distribution/Limited Dissemination Control: FEDCON POC: Daniel Steinhauer, 407-208-5820

MTCCS

SOLICITATION NO. W900KK-22-R-0035

AMENDMENT NO.: 00

CUI//FEDCON Section X.X., Attachment (2)

CUI//FEDCON

PAST PERFORMANCE RATING FORM

PAST PERFORMANCE PROJECT IDENTIFICATON (To be filled out by the Offeror):

CONTRACTOR NAME: Click here to enter text.

CONTRACT or ORDER NUMBER: Click here to enter text.

PROJECT TITLE: Click here to enter text.

TOTAL PERIOD OF PERFORMANCE,

INCLUDING OPTIONS

Click here to enter text.

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

NAME: Click here to enter text.

TITLE: Click here to enter text.

AGENCY or CUSTOMER: Click here to enter text.

PHONE: Click here to enter text.

E-MAIL Click here to enter text.

For each of the Six (6) criteria listed below, the rater must choose One (1) Adjectival Rating by checking the box, as applicable. At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating. If Cost Control of Utilization of Small Business is N/A, Please explain why. Rater: Please submit completed form to usarmy.orlando.peo-stri.mbx.mtccs@mail.mil In the subject line, please include “PP ‘Contractor Name’”.

1. QUALITY OF SERVICE

RATING Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 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 element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS:

mailto:usarmy.orlando.peo-stri.mbx.mtccs@mail.mil

CUI//FEDCON

SOLICITATION NO. W900KK-22-R-0035

AMENDMENT NO.: 00

Section X.X., Attachment (2)

CUI//FEDCON

Click here to enter text.

2. SCHEDULE

RATING Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 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 element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS:

Click here to enter text.

3. COST CONTROL

RATING Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

SOLICITATION NO. W900KK-22-R-0035

AMENDMENT NO.: 00

Section X.X., Attachment (2)

CUI//FEDCON

Satisfactory Performance meets contractual requirements. The element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Not Applicable

ADDITIONAL COMMENTS:

Click here to enter text.

4. BUSINESS RELATIONS

RATING Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 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 element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Click here to enter text.

SOLICITATION NO. W900KK-22-R-0035

AMENDMENT NO.: 00

Section X.X., Attachment (2)

CUI//FEDCON

5. MANAGEMENT OF PERSONNEL

RATING Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 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 element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS:

Click here to enter text.

6. UTILIZATION OF SMALL BUSINESS

RATING Adjectival

Rating Definition

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit.

The 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 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 element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

SOLICITATION NO. W900KK-22-R-0035

AMENDMENT NO.: 00

Section X.X., Attachment (2)

CUI//FEDCON

Not Applicable

Click here to enter text.