Att P2 - ASI TPMS Contractor Performance Assessment Questionnaire

N00421-27-R-1008
Attachment P2

SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

CONTRACTOR PERFORMANCE ASSESSMENT QUESTIONNAIRE

NAME/ADDRESS OF CONTRACTOR

Company Name:
Division Name:
Street Address:
City:

State/Province:

Zip Code:

Country:

CAGE Code:

DUNS Number:

PSC:

Contract Percent Complete:

Contract Number:

Business Sector: {Select One}

Sub-Sector: {Select One}

NAICS Code:

Contracting Office:
Contracting Officer:

Phone Number:

Location of Work:

Award Date:

Effective Date:

Completion Date:

Estimated/Actual Completion Date:

Total Dollar Value:

Current Contract Dollar Value:

Complexity: {Select One}

Contract Type: {Select One}

KEY SUBCONTRACTOR(S) AND EFFORT PERFORMED

Key Subcontractor(s):
DUNS Number:
Effort Performed:

SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

Project Title:
Contract Effort Description:

Small Business Utilization:
• Does this contract include a subcontracting plan? {Select One} • Date of last Individual Subcontracting Report/Summary Subcontracting Report: Variance (Contract-to-Date):

EVALUATION AREAS

Quality:

{Select One}

Schedule:

{Select One}

Cost Control:

{Select One}

Management:

{Select One}

Utilization of Small Business:

{Select One}

Regulatory Compliance:

{Select One}

ASSESSING OFFICIAL COMMENTS

Quality:

Schedule:

SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

Cost Control:

Management:

Management Responsiveness:

Subcontract Management:

Program Management and Other Management:

SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

Management of Key Personnel:

Utilization of Small Business:

Regulatory Compliance:

RECOMMENDATION:

Given what I know today about the contractor’s ability to perform in accordance with this contract or order’s most significant requirements, I {Select One}
recommend them for similar requirements in
the future.

NAME AND TITLE OF ASSESSING OFFICIAL

Name:

Title:

Organization:

Phone Number:

Email Address:

Date:

INSTRUCTIONS FOR COMPLETING THE CONTRACTOR PERFORMANCE ASSESSMENT QUESTIONNAIRE

NAME/ADDRESS OF CONTRACTOR. State the name and address of the division or subsidiary of the contractor that is performing the contract/order. Identify the parent corporation (no address required). Identify the DUNS+4 number, Product or Service Code (PSC), and North American Industrial Classification System (NAICS) code. CONTRACT PERCENT COMPLETE. Enter the percent of the contract/order that has been completed at the time of this assessment. Use data from any Earned Value Management Systems, progress reports, and schedule and payment