The status of this evaluation:
Evaluation Process Started - CO
Termination for:
Reporting Period From to
(MM/DD/YYYY) (REQUIRED)
Contracting Office:
Contract Number:
Task Order Number:
Contractor Name: (REQUIRED)
Address:
TIN:
(REQUIRED) DUNS:
(OPTIONAL) SIC:
(OPTIONAL) Commodity Code:
(REQUIRED) Procurement Method:
Sealed Bid
Negotiated
(REQUIRED)
Contract Type:
CA - Cost-Plus-Award-Fee
CF - Cost-Plus-Incentive
CP - Cost-Plus-Fixed-Fee
CR - Cost - No Fee
CS - Cost-Sharing
FE - Fixed-Price with Economic Price Adjustment
FI - Fixed-Price Incentive
FP - Fixed-Price
FR - Fixed-Price Redeterminable
LH - Labor Hour
OO - Other
TM - Time and Materials
Description of requirement: (REQUIRED)
Summarize contractor performance and check
the number which corresponds to the rating for each category.
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Nonconformances are
jeopardizing the achievement of contract requirements, despite use of
Agency
resources
1 - Poor Overall compliance requires major
Agency resources to ensure achievement of contract requirements
2 - Fair Overall compliance requires minor
Agency resources to ensure achievement of contract requirements
3 - Good Overall compliance does not impact
achievement of contract requirements
4 - Excellent There are no quality problems
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for QUALITY OF PRODUCT OR SERVICE: (REQUIRED) (Read Only. Changes will not be accepted)
COST CONTROL
(Rating for Fixed Price Contracts must be N/A, Not Applicable)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Ability to manage cost issues
is jeopardizing performance of contract requirements, despite use of
Agency resources
1 - Poor Ability to manage cost issues requires
major Agency resources to ensure achievement of contract
requirements
2 - Fair Ability to control cost issues requires
minor Agency resources to ensure achievement of contract
requirements
3 - Good Management of cost issues does not
impact achievement of contract requirements
4 - Excellent There are no cost management
issues
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for COST CONTROL:
(REQUIRED FOR COST TYPE CONTRACTS.
OPTIONAL FOR FIXED PRICE CONTRACTS )
(Read Only. Changes will not be accepted)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Delays are jeopardizing the
achievement of contract requirements, despite use of Agency resources
1 - Poor Delays require major Agency resources
to ensure achievement of contract requirements
2 - Fair Delays require minor Agency resources
to ensure achievement of contract requirements
3 - Good Delays do not impact achievement of
contract requirements
4 - Excellent There are no delays
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for TIMELINESS OF PERFORMANCE: (REQUIRED) (Read Only. Changes will not be accepted)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Response to inquiries,
technical/service/administrative issues is not effective
1 - Poor Response to inquiries,
technical/service/administrative issues is marginally effective
2 - Fair Response to inquiries,
technical/service/administrative issues is somewhat effective
3 - Good Response to inquiries,
technical/service/administrative issues is usually effective
4 - Excellent Response to inquiries,
technical/service/administrative issues is effective
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for EFFECTIVENESS OF MANAGEMENT/BUSINESS RELATIONS: (REQUIRED) (Read Only. Changes will not be accepted)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Noncompliance is jeopardizing
the achievement of contract requirements, despite Agency intervention
1 - Poor Overall compliance requires major
Agency intervention to ensure achievement of contract requirements
2 - Fair Overall compliance requires minor
Agency intervention to ensure achievement of contract requirements
3 - Good Overall compliance does not impact
achievement of contract requirements
4 - Excellent There are no compliance issues
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for COMPLIANCE WITH LABOR STANDARDS: (REQUIRED) (Read Only. Changes will not be accepted)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Inadequate safety
program/equipment/training is ineffective and jeopardizes the achievement
of the
contract requirements
1 - Poor Overall compliance requires major
Agency resources to ensure corrective action when safety
deficiencies are identified
2 - Fair Overall compliance requires minor
Agency resources to ensure corrective action when safety
deficiencies are identified
3 - Good Safety program/equipment/training and
corrective action of safety deficiencies are usually effective
4 - Excellent There are no compliance issues
with safety standards
5 - Outstanding The contractor has demonstrated
an outstanding performance level that justifies adding a point to
the score. It is expected that this rating will be used in
those rare circumstances where
contractor performance clearly exceeds the performance
levels described as "Excellent".
Government Comments for COMPLIANCE WITH SAFETY STANDARDS: (REQUIRED) (Read Only. Changes will not be accepted)
N/A=Not Applicable
0=Unsatisfactory
1=Poor
2=Fair
3=Good
4=Excellent
5=Outstanding
Press button below for rating criteria
0 - Unsatisfactory Performance was definitely
unacceptable with respect to the objectives for SDB participation in the
award. If not substantially mitigated or corrected, it
should constitute a significant impediment
in considerations for future awards containing similar
requirements/goals.
1 - Poor Performance was significantly less than
what is expected of the contractor, jeopardizing the
objectives for SDB participation in the award. The need
for remedial attention was indicated.
2 - Fair Performance was somewhat less than
anticipated achievement to date, but not so much as to jeopardize
ultimate achievement of the objectives for SDB
participation in the award. Some deficiencies in
meeting reporting requirements may have required
corrective actions.
3 - Good Performance was fully in line with
expectations for the SDB criterion. No more than minor
deficiencies in reporting requirements have been
experienced.
4 - Excellent Performance was substantially
above anticipated achievement levels. Reporting requirements were
fully achieved.
5 - Outstanding Performance was particularly
noteworthy to the extent that it was significantly in excess of
anticipated achievements and is commendable as an example
for others. It is expected that this
rating will be used in rare circumstances where the
contractor performance exceeds the performance
levels of "excellent".
Government Comments for MEETING SDB SUBCONTRACTING REQUIREMENTS: (REQUIRED) (Read Only. Changes will not be accepted)
Press button below for rating criteria
0 - Unsatisfactory Nonconformances are
jeopardizing the achievement of contract requirements, despite use of
Agency
resources
1 - Poor Overall compliance requires major
Agency resources to ensure achievement of contract requirements
2 - Fair Overall compliance requires minor
Agency resources to ensure achievement of contract requirements
3 - Good Overall compliance does not impact
achievement of contract requirements
4 - Excellent There are no problems
5 - Outstanding The contractor has demonstrated
an outstanding performance level in any of the categories that
justifies adding a point to the score. It is expected that
this rating will be used in those rare
circumstances where contractor performance clearly exceeds
the performance levels described as
"Excellent".
Government Comments for OVERALL RATING: (REQUIRED) (Read Only. Changes will not be accepted)
SUBCONTRACTS
Are subcontracts involved? (Check one)
(REQUIRED) Government Comments: (Please comment
on those subcontractors
that have provided a significant
contribution to overall
contract performance.)
Contractor's Comments: (Read Only. Changes will not be accepted)
CONTRACTOR MANAGER/PRINCIPAL INVESTIGATOR (last name, first name) :
(REQUIRED) Government Comments: Note: The comment length is
limited to 2000 characters.
Contractor's Comments: (Read Only. Changes will not be accepted)
CONTRACTOR KEY PERSON (last name, first name) : Government Comments: Note: The comment length
is limited to 2000 characters.
Contractor's Comments: (Read Only. Changes will not be accepted)
CONTRACTOR KEY PERSON (last name, first name) : Government Comments: Note: The comment length
is limited to 2000 characters.
Contractor's Comments: (Read Only. Changes will not be accepted)
CUSTOMER SATISFACTION
Is/was the contractor committed
to customer satisfaction?
(Check one)
(REQUIRED) If this is the Final Report after contract expiration: (Check one)
(Required on Final Evaluations) Government Comments:
Contractor's Comments: (Read Only. Changes will not be accepted)
USPS
PROJECT OFFICER (last name, first name) :
(REQUIRED) The Following Phone Numbers are Foreign Numbers Phone: ((NNN)NNN-NNNN) (REQUIRED)
Ext: Fax: Internet Address: (REQUIRED)
Date: (MM/DD/YYYY) (REQUIRED)
CONTRACTOR REPRESENTATIVE (last name, first name) :
(REQUIRED) The Following Phone Numbers are Foreign Numbers Phone: ((NNN)NNN-NNNN) (REQUIRED)
Ext: Fax: Internet Address: (REQUIRED)
The following alternate Contractore Representative information is
required to insure that at least one person is notified of evaluation.
ALTERNATE CONTRACTOR REPRESENTATIVE (last name, first name) :
(REQUIRED) The Following Phone Numbers are Foreign Numbers Phone: ((NNN)NNN-NNNN) (REQUIRED)
Ext: Internet Address: (REQUIRED)
Do not Send Evaluation to Contractor yet.
CONTRACTOR UNIQUE ID (7-10 characters)
: (REQUIRED)
Contractor Comments Due Date:
(MM/DD/YYYY) (Required when sending evaluation to Contractor)
Use the plus(+) or minus(-) buttons to increase or decrease the Contractor Comment Due Date
CONTRACTING OFFICER (last name, first name) :
(REQUIRED) The Following Phone Numbers are Foreign Numbers Phone: ((NNN)NNN-NNNN) (REQUIRED)
Ext: Fax: Internet Address: (REQUIRED)
Date: (MM/DD/YYYY) (REQUIRED)
OMB CLEARANCE NO. 9000-0142SOURCE SELECTION INFORMATION/CONFIDENTIAL
The status of this evaluation:
Evaluation Process Started - CO
RETURN TO MAIN FORM