Common use of Quality of Product or Service Clause in Contracts

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Comments for Business Relations (2000 characters maximum): Would you recommend ordering this contractor again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: E-mail Address: Contractor Representative Name: Phone: E-mail Address: **EVALUATOR to RETURN A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating Guidelines

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A _0=Unsatisfactory 1=Marginal Poor 2=Satisfactory Fair 3=Very Good 4=Exceptional Excellent 5=Outstanding Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Business Relations (2000 characters maximum): Additional Info Contractor Key Personnel Contractor Manager/Principal Investigator (Owner’s Name): Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum): (If applicable, describe working relationship with government representatives for this assignment) Contractor Key Person (Equipment Operator’s Name): Government Comment on Contractor Key Person (2000 characters maximum): (Describe working relationship with government representatives for this assignment) Customer Satisfaction Is/was the contractor committed to customer satisfaction? Yes No (Check one) Would you recommend ordering the selection of this contractor firm again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no to either of above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: ‌ Fax:‌ E-mail Address: Contractor Representative Name: Name:‌ Phone: Fax:‌ E-mail Address: **EVALUATOR Alternate Contractor Representative Name:‌ Phone: Fax:‌ E-mail Address: Contracting Officer: Name:‌ Phone: Fax:‌ E-Mail Address: Rating Guidelines Quality of Product or Service 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likelyperformance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. Poor Overall compliance requires significant Agency resources to RETURN ensure achievement of contract requirements. Fair Overall compliance requires minor Agency resources to ensure achievement of contract requirements. Good There are no, or very minimal, quality problems, and the Contractor has met the contract requirements. Excellent There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government. Outstanding The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in xxxx rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". Timeliness of Performance 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recoveryis not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards. Poor Delays require significant Agency resources to ensure achievement of contract requirements. Fair Delays require minor Agency resources to ensure achievement of contract requirements. Good There are no, or minimal, delays that impact achievement of contract requirements. Excellent There are no delays and the contractor has exceeded the agreed upon time schedule. 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". Business Relations 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards. Poor Response to inquiries and/or technical, service, administrative issues is marginally effective. Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective. Good Response to inquiries and/or technical, service, administrative issues is consistently effective. Excellent Response to inquiries and/or technical, service, administrative issues exceeds Government expectation. Outstanding The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It isexpected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". ATTACHMENT I INCIDENT ORDER/PROJECT NUMBER / AGENCY CONTACT INFORMATION Box 3 on the Resource Order contains an INCIDENT/PROJECT ORDER NUMBER. This number is typically the Host Agency incident number, although not always if the incident has crossed jurisdictions, become a cost share or FEMA incident. This number will help in determining the correct person to contact with financial questions. For Example: MT-LNF-000035 • MT acronym for Montana • LNF is the 3-letter designator for the Lolo National Forest o F at the end stands for Forest, USFS responsibility o D at the end stands for District, BLM responsibility o A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating Guidelinesat the end stands for Agency, typically BIA responsibility o S at the end stands for State, State responsibility o P at the end stands for Park, National Park Service responsibility • 000035 is the incident number, unique to that incident Generally, knowing the state the incident happened in and the 3-letter forest, district, etc. designator will identify the agency you need to contact. Below is an agency list with most 3 letter designators listed for identification. STATES IDAHO (CAS, CMS, CTS, KVS, MCS, MIS, PDS, PLS, POS, SJS) MONTANA (SWS, NWS, CES, NES, SLO, EAS) Xxxxx Xxxxxx or Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx 0000 Xxxx Xxxxxxxxxx Xxxx 2705 Xxxxxxx Road Coeur d’Xxxxx, XX 00000 Xxxxxxxx, XX 00000 000-000-0000 000-000-0000 xxxxxxx@xxx.xxxxx.xxx or xxxxxxxx@xxx.xxxxx.xxx xxxxxxxx@xx.xxx NORTH DAKOTA (NDS) Xxxxxxx Xxxxxxx (Acting) 000 Xxxx Xxxxxxxxxx Xxxxxx, Xxx 0 Xxxxxxxx, XX 00000 701-328-9916 or 000-000-0000 Xxxxxxx.Xxxxxxx@xxxx.xxx ATTACHMENT J Payment Offices State of Montana Department of Natural Resources and Conservation DNRC Forestry Division 0000 Xxxxxxx Xx. Missoula MT 59804 DNRC Southwestern Land Office 0000 00xx Xxx Xxxxxxxx XX 00000 DNRC Central Land Office 0000 X Xxxxxxx Xxx Xxxxxx XX 00000 DNRC Xxxxxxxxxxxx Xxxx Xxxxxx XX Xxx 0000 Xxxxxxxxx XX 00000 DNRC Eastern Land Office XX Xxx 0000 Xxxxx Xxxx XX 00000 DNRC Southern Land Office Airport Industrial Park 0000 Xxxxxx Xxxxx Xxxxxxxx XX 00000-0000 DNRC Northwestern Land Xxxxxx 000 Xxxxxxxxxx Xxxxxxx XXX 0 Xxxxxxxxx XX 00000-0000 State of Idaho Idaho Department of Lands Bureau of Fire Management 0000 X Xxxxxxxxxx Xxxx Couer d’ Xxxxx XX 00000‌‌‌ Cataldo‌ 00 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxx Mountain XX Xxx 00 Xxxxxxxxx XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Kootenai Valley Xxxxx 0, Xxx 0000 Xxxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxxx Xxxxx Xxxxx 0 Xxx 000 Xxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Mica 0000 Xxxxxxxxxx Xxxxxx X. Xxxxx x'Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Pend Oreille Lake 0000 Xxxxxxx 0 Xxxx Xxxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Xxxxx Xxxxxx Ponderosa 0000 Xxxxxxx 0 Xxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000. Priest Lake‌ 0000 Xxxxxxxxx Xxx Road Coolin, ID 83821 Phone: (000) 000-0000 Fax: (000) 000-0000 South Central‌ XX Xxx 000 Xxxxxxx, ID 83330 Phone: (000) 000-0000 Fax: (000) 000-0000 Southwest 0000 Xxxx Xxxxx Xxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. St. Xxx 0000 Xxxx Xxxxxx Xx. Xxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Clearwater-Potlatch Timber Protective Assn. 00000 Xxxxxxx 00,‌ Xxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Southern Idaho Timber Protective Assn. 000 Xxxxxxxx Xxxx,‌ XxXxxx ID 83638 Phone: (000) 000-0000 Fax: (000) 000-0000 State of North Dakota State Foresters Xxxxxx 000 Xxxxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Attn: Xxxxxx Xxxxxxx (701) 228-5422‌ ATTACHMENT K Type 2 Fireline Crew Agreement 31 VEHICLE / HEAVY EQUIPMENT SAFETY INSPECTION CHECKLIST

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A _0=Unsatisfactory 1=Marginal Poor 2=Satisfactory Fair 3=Very Good 4=Exceptional Excellent 5=Outstanding Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Business Relations (2000 characters maximum): Additional Info Contractor Key Personnel Contractor Manager/Principal Investigator (Owner’s Name): Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum): (If applicable, describe working relationship with government representatives for this assignment) Contractor Key Person (Equipment Operator’s Name): Government Comment on Contractor Key Person (2000 characters maximum): (Describe working relationship with government representatives for this assignment) Customer Satisfaction Is/was the contractor committed to customer satisfaction? Yes No (Check one) Would you recommend ordering the selection of this contractor firm again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no to either of above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Name:‌ Phone: Fax:‌ E-mail Address: Contractor Representative Name: Name:‌ Phone: Fax:‌ E-mail Address: **EVALUATOR Alternate Contractor Representative Name:‌ Phone: Fax:‌ E-mail Address: Contracting Officer: Name:‌ Phone: Fax:‌ E-Mail Address: Rating Guidelines Quality of Product or Service 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likelyperformance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. Poor Overall compliance requires significant Agency resources to RETURN ensure achievement of contract requirements. Fair Overall compliance requires minor Agency resources to ensure achievement of contract requirements. Good There are no, or very minimal, quality problems, and the Contractor has met the contract requirements. Excellent There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government. Outstanding The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in xxxx rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". Timeliness of Performance 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recoveryis not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards. Poor Delays require significant Agency resources to ensure achievement of contract requirements. Fair Delays require minor Agency resources to ensure achievement of contract requirements. Good There are no, or minimal, delays that impact achievement of contract requirements. Excellent There are no delays and the contractor has exceeded the agreed upon time schedule. 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". Business Relations 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards. Poor Response to inquiries and/or technical, service, administrative issues is marginally effective. Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective. Good Response to inquiries and/or technical, service, administrative issues is consistently effective. Excellent Response to inquiries and/or technical, service, administrative issues exceeds Government expectation. Outstanding The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It isexpected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". ATTACHMENT I INCIDENT ORDER/PROJECT NUMBER / AGENCY CONTACT INFORMATION Box 3 on the Resource Order contains an INCIDENT/PROJECT ORDER NUMBER. This number is typically the Host Agency incident number, although not always if the incident has crossed jurisdictions, become a cost share or FEMA incident. This number will help in determining the correct person to contact with financial questions. For Example: MT-LNF-000035 • MT acronym for Montana • LNF is the 3-letter designator for the Lolo National Forest o F at the end stands for Forest, USFS responsibility o D at the end stands for District, BLM responsibility o A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating Guidelinesat the end stands for Agency, typically BIA responsibility o S at the end stands for State, State responsibility o P at the end stands for Park, National Park Service responsibility • 000035 is the incident number, unique to that incident Generally, knowing the state the incident happened in and the 3-letter forest, district, etc. designator will identify the agency you need to contact. Below is an agency list with most 3 letter designators listed for identification. STATES IDAHO (CAS, CMS, CTS, KVS, MCS, MIS, PDS, PLS, POS, SJS) MONTANA (SWS, NWS, CES, NES, SLO, EAS) Xxxxx Xxxxxx or Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx 0000 Xxxx Xxxxxxxxxx Xxxx 2705 Xxxxxxx Road Coeur d’Xxxxx, XX 00000 Xxxxxxxx, XX 00000 000-000-0000 000-000-0000 xxxxxxx@xxx.xxxxx.xxx or xxxxxxxx@xxx.xxxxx.xxx xxxxxxxx@xx.xxx NORTH DAKOTA (NDS) Xxxxxxx Xxxxxxx (Acting) 000 Xxxx Xxxxxxxxxx Xxxxxx, Xxx 0 Xxxxxxxx, XX 00000 701-328-9916 or 000-000-0000 Xxxxxxx.Xxxxxxx@xxxx.xxx ATTACHMENT J Payment Offices State of Montana Department of Natural Resources and Conservation DNRC Forestry Division 0000 Xxxxxxx Xx. Missoula MT 59804 DNRC Southwestern Land Office 0000 00xx Xxx Xxxxxxxx XX 00000 DNRC Central Land Office 0000 X Xxxxxxx Xxx Xxxxxx XX 00000 DNRC Xxxxxxxxxxxx Xxxx Xxxxxx XX Xxx 0000 Xxxxxxxxx XX 00000 DNRC Eastern Land Office XX Xxx 0000 Xxxxx Xxxx XX 00000 DNRC Southern Land Office Airport Industrial Park 0000 Xxxxxx Xxxxx Xxxxxxxx XX 00000-0000 DNRC Northwestern Land Xxxxxx 000 Xxxxxxxxxx Xxxxxxx XXX 0 Xxxxxxxxx XX 00000-0000 State of Idaho Idaho Department of Lands Bureau of Fire Management 0000 X Xxxxxxxxxx Xxxx Couer d’ Xxxxx XX 00000‌‌‌ Cataldo‌ 00 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxx Mountain XX Xxx 00 Xxxxxxxxx XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Kootenai Valley Xxxxx 0, Xxx 0000 Xxxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxxx Xxxxx Xxxxx 0 Xxx 000 Xxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Mica 0000 Xxxxxxxxxx Xxxxxx X. Xxxxx x'Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Pend Oreille Lake 0000 Xxxxxxx 0 Xxxx Xxxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Xxxxx Xxxxxx Ponderosa 0000 Xxxxxxx 0 Xxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000. Priest Lake‌ 0000 Xxxxxxxxx Xxx Road Coolin, ID 83821 Phone: (000) 000-0000 Fax: (000) 000-0000 South Central‌ XX Xxx 000 Xxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Southwest 0000 Xxxx Xxxxx Xxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. St. Xxx 0000 Xxxx Xxxxxx Xx. Xxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Clearwater-Potlatch Timber Protective Assn. 00000 Xxxxxxx 00,‌ Xxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Southern Idaho Timber Protective Assn. 000 Xxxxxxxx Xxxx,‌ XxXxxx ID 83638 Phone: (000) 000-0000 Fax: (000) 000-0000 State of North Dakota State Foresters Xxxxxx 000 Xxxxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Attn: Xxxxxx Xxxxxxx (701) 228-5422‌ ATTACHMENT K Type 2 Fireline Crew Agreement 31 VEHICLE / HEAVY EQUIPMENT SAFETY INSPECTION CHECKLIST

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A _0=Unsatisfactory 1=Marginal Poor 2=Satisfactory Fair 3=Very Good 4=Exceptional Excellent 5=Outstanding Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Business Relations (2000 characters maximum): Additional Info Contractor Key Personnel Contractor Manager/Principal Investigator (Owner’s Name): Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum): (If applicable, describe working relationship with government representatives for this assignment) Contractor Key Person (Equipment Operator’s Name): Government Comment on Contractor Key Person (2000 characters maximum): (Describe working relationship with government representatives for this assignment) Customer Satisfaction Is/was the contractor committed to customer satisfaction? Yes No (Check one) Would you recommend ordering the selection of this contractor firm again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no to either of above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: Fax: E-mail Address: Contractor Representative Name: Phone: Fax: E-mail Address: **EVALUATOR Alternate Contractor Representative Name: Phone: Fax: E-mail Address: Contracting Officer: Name: Phone: Fax: E-Mail Address: Rating Guidelines Quality of Product or Service 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. Ifperformance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. Poor Overall compliance requires significant Agency resources to RETURN ensure achievement of contract requirements. Fair Overall compliance requires minor Agency resources to ensure achievement of contract requirements. Good There are no, or very minimal, quality problems, and the Contractor has met the contract requirements. Excellent There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government. Outstanding The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it 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". Timeliness of Performance 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. Ifperformance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards. Poor Delays require significant Agency resources to ensure achievement of contract requirements. Fair Delays require minor Agency resources to ensure achievement of contract requirements. Good There are no, or minimal, delays that impact achievement of contract requirements. Excellent There are no delays and the contractor has exceeded the agreed upon time schedule. Outstanding The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected thatthis rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". Business Relations 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected itshould constitute a significant impediment in considerations for future awards. Poor Response to inquiries and/or technical, service, administrative issues is marginally effective. Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective. Good Response to inquiries and/or technical, service, administrative issues is consistently effective. Excellent Response to inquiries and/or technical, service, administrative issues exceeds Government expectation. 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". ATTACHMENT I INCIDENT ORDER/PROJECT NUMBER / AGENCY CONTACT INFORMATION Box 3 on the Resource Order contains an INCIDENT/PROJECT ORDER NUMBER. This number is typically the Host Agency incident number, although not always if the incident has crossed jurisdictions, become a cost share or FEMA incident. This number will help in determining the correct person to contact with financial questions. For Example: MT-LNF-000035 • MT acronym for Montana • LNF is the 3 letter designator for the Lolo National Forest o F at the end stands for Forest, USFS responsibility o D at the end stands for District, BLM responsibility o A COMPLETED EVALUATION at the end stands for Agency, typically BIA responsibility o S at the end stands for State, State responsibility o P at the end stands for Park, National Park Service responsibility • 000035 is the incident number, unique to that incident Generally, knowing the state the incident happened in and the 3 letter forest, district, etc. designator will identify the agency you need to contact. Below is an agency list with most 3 letter designators listed for identification. BLM, BIA, NPS BLM (BID, BUD, MCD, LED) Xxxxx Xxx 0000 Xxxxxx Xxxxx Billings, MT 59101 BIA - Rocky Mountain Region (BFA, CRA, FBA, FPA, NCA, RBA) BIA -Northwest Region (FHA) Xxxxxx Xxxxxxxxx Xxxxx Xxxxx 0000 0xx Xxxxxx Xxxxx 000 Xxxxxxxxx 00xx Billings, MT 59101 Portland, OR 97232 000-000-0000 000-000-0000 xxxxxx.xxxxxxxxx@xxx.xxx xxxxx.xxxxx@xxx.xxx NPS - Glacier National Park (GNP) NPS - Yellowstone National Park (YNP) Xxxxx Xxxxx Xxxxxxx XxXxxxx PO Box 128 PO Box 168 West Glacier, MT 59936 Yellowstone National Park, WY 82190-1068 000-000-0000 000-000-0000 xxxxx_xxxxx@xxx.xxx xxxxxxx_xxxxxxx@xxx.xxx USFS Lolo (LNF) & Bitterroot (BRF) National Forests Xxxxxx (CNF) & Gallatin (GNF)National Forests Xxxxxx Xxxxxxxx Xxxxxx Xxxxxx 0000 Xxxxx 0xx Xxxxxx 0000 Xxxxxx Xxxxx Xxxxxxxx, MT 59840 Billings MT 59105 000-000-0000 000-000-0000 xxxxxxxxx00@xxx.xxx.xx xxxxxxxxxxxx@xx.xxx.xx Helena (HNF), Xxxxx & Xxxxx (LCF) , Beaverhead Idaho Panhandle (IPF) , Nez Perce-Clearwater (NCF) Deerlodge (BDF) National Forests National Forests Xxxx Xxxxxx Xxxxxxx Good 0000 00xx Xxxxxx North 000 Xxxxxxx Xxxx Great Falls, MT 59401 Grangeville, ID 83530 000-000-0000 000-000-0000 xxxxxxx@xx.xxx.xx xxxxxx@xx.xxx.xx Kootenai (KNF) & Flathead (FNF) National Forests Xxxxx Xxxxxx 31374 HWY 2 Libby, MT 59923 000-000-0000 xxxxxxx@xx.xxx.xx STATES IDAHO (CAS, CMS, CTS, KVS, MCS, MIS, PDS, PLS, POS, SJS) MONTANA (SWS, NWS, CES, NES, SLO, EAS) Xxxxx Xxxxxx or Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx 0000 Xxxx Xxxxxxxxxx Xxxx 0000 Xxxxxxx Xxxx Coeur d’Alene, ID 83815 Missoula, MT 59804 000-000-0000 000-000-0000 xxxxxxx@xxx.xxxxx.xxx or xxxxxxxx@xxx.xxxxx.xxx xxxxxxxx@xx.xxx NORTH DAKOTA (NDS) Xxxxxxx Xxxxxxx (Acting) 000 Xxxx Xxxxxxxxxx Xxxxxx, Ste 4 Bismarck, ND 58503 701-328-9916 or 000-000-0000 Xxxxxxx.Xxxxxxx@xxxx.xxx ATTACHMENT J USDA Forest Service USDA Forest Service Albuquerque Service Center Incident Business 000X Xxx Xxx. NE Albuquerque, NM 87109 National Park Service National Park Service Accounting Operations Center P.O. Box 100000 00000 Xxxxxxx Xxxxxx Xxxxx Xxxxxxx, XX 00000 Federal Payment Offices Bureau of Land Management Xxxxxxx returned to the BLM Local Incident Host Agency Bureau of Indian Affairs Xxxxxxxx, Xxxxx Mountain Region Designated billing office information will be provided by local host agency unit. US Fish and Wildlife Service U.S. Fish and Wildlife Service Attn: RFMC Xxxxx Xxxxxx 000 Xxxxx Xxxxxxxxx, Xxxxx 000 Lakewood, CO 80228 State of Idaho Cataldo 00 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxx Mountain PO Box 68 Craigmont ID 83523 Phone: (000) 000-0000 Fax: (000) 000-0000 Eastern Idaho 0000 Xxxxx Xxxxxxx Idaho Falls, ID 83401. Phone: (000) 000-0000 Fax: (000) 000-0000. Kootenai Valley Route 4, Box 4810 Bonners Ferry, ID 83805. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxxx Creek Route 2 Box 190 Kamiah, ID 83536 Phone: (000) 000-0000 Fax: (000) 000-0000 Mica 0000 Xxxxxxxxxx Xxxxxx X. Xxxxx x'Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Pend Oreille Lake 0000 Xxxxxxx 0 Xxxx Sandpoint, ID 83864. Phone: (000) 000-0000 Fax: (000) 000-0000. Xxxxx Xxxxxx Ponderosa 0000 Xxxxxxx 0 Deary, ID 83823 Phone: (000) 000-0000 Fax: (000) 000-0000. Priest Lake 0000 Xxxxxxxxx Xxx Road Coolin, ID 83821 Phone: (000) 000-0000 Fax: (000) 000-0000 South Central PO Box 149 Gooding, ID 83330 Phone: (000) 000-0000 Fax: (000) 000-0000 Southwest 0000 Xxxx Xxxxx Xxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. St. Xxx 0000 Xxxx Xxxxxx Xx. Xxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 State Foresters Office 000 Xxxxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Attn: Xxxxxx Xxxxxxx (000) 000-0000 Clearwater-Potlatch Timber Protective Assn. 00000 Xxxxxxx 00, Xxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Southern Idaho Timber Protective Assn. 000 Xxxxxxxx Xxxx, XxXxxx ID 83638 Phone: (000) 000-0000 Fax: (000) 000-0000 State of North Dakota State of Montana Department of Natural Resources and Conservation DNRC Forestry Division 0000 Xxxxxxx Xx. Missoula MT 59804 DNRC Southwestern Land Office 0000 00xx Xxx Missoula MT 59804 DNRC Central Land Office 0000 X Xxxxxxx Xxx Xxxxxx XX 00000 DNRC Northeastern Land Office PO Box 1021 Lewistown MT 59457 DNRC Eastern Land Office PO Box 1794 Miles City MT 59301 DNRC Southern Land Office Airport Industrial Park 0000 Xxxxxx Xxxxx Billings MT 59105-1978 DNRC Northwestern Land Office 000 Xxxxxxxxxx Xxxxxxx XXX 0 Kalispell MT 59901-1215 ATTACHMENT K VEHICLE / HEAVY EQUIPMENT SAFETY INSPECTION CHECKLIST FORM TO FINANCE SECTION** Rating GuidelinesUSE AND DISTRIBUTION Pre-Use Inspection

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A ent Comments for Quality of Product or Service (2000 characters maximum): 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Comments for Quality of Product or Service (2000 characters maximum): Governm N/A Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A ent Comments for Timeliness of Performance (2000 characters maximum): 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Comments for Timeliness of Performance (2000 characters maximum): Governm N/A Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A 0=Unsatisfactory 1=Marginal 2=Satisfactory 3=Very Good 4=Exceptional Government Governm ent Comments for Business Relations (2000 characters maximum): Would you recommend ordering this contractor again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: E-mail Address: Contractor Representative Name: Phone: E-mail Address: **EVALUATOR to RETURN A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating GuidelinesRATING GUIDELINES

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A _0=Unsatisfactory 1=Marginal Poor 2=Satisfactory Fair 3=Very Good 4=Exceptional Excellent 5=Outstanding Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Business Relations (2000 characters maximum): Additional Info Contractor Key Personnel Contractor Manager/Principal Investigator (Owner’s Name): Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum): (If applicable, describe working relationship with government representatives for this assignment) Contractor Key Person (Equipment Operator’s Name): Government Comment on Contractor Key Person (2000 characters maximum): (Describe working relationship with government representatives for this assignment) Customer Satisfaction Is/was the contractor committed to customer satisfaction? Yes No (Check one) Would you recommend ordering the selection of this contractor firm again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no to either of above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: ‌ Fax: E-mail Address: Contractor Representative NameName:‌‌ Phone: PhoneFax: E-mail Address: **EVALUATOR Alternate Contractor Representative Name:‌‌ Phone: Fax:‌ E-mail Address: Contracting Officer:‌ Name: Phone: Fax:‌ E-Mail Address: Rating Guidelines Quality of Product or Service 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. Ifperformance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. Poor Overall compliance requires significant Agency resources to RETURN ensure achievement of contract requirements. Fair Overall compliance requires minor Agency resources to ensure achievement of contract requirements. Good There are no, or very minimal, quality problems, and the Contractor has met the contract requirements. Excellent There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government. Outstanding The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it 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". Timeliness of Performance 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards. Poor Delays require significant Agency resources to ensure achievement of contract requirements. Fair Delays require minor Agency resources to ensure achievement of contract requirements. Good There are no, or minimal, delays that impact achievement of contract requirements. Excellent There are no delays and the contractor has exceeded the agreed upon time schedule. 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". Business Relations 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards. Poor Response to inquiries and/or technical, service, administrative issues is marginally effective. Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective. Good Response to inquiries and/or technical, service, administrative issues is consistently effective. Excellent Response to inquiries and/or technical, service, administrative issues exceeds Government expectation. 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". ATTACHMENT I INCIDENT ORDER/PROJECT NUMBER / AGENCY CONTACT INFORMATION Box 3 on the Resource Order contains an INCIDENT/PROJECT ORDER NUMBER. This number is typically the Host Agency incident number, although not always if the incident has crossed jurisdictions, become a cost share or FEMA incident. This number will help in determining the correct person to contact with financial questions. For Example: MT-LNF-000035 • MT acronym for Montana • LNF is the 3 letter designator for the Lolo National Forest o F at the end stands for Forest, USFS responsibility o D at the end stands for District, BLM responsibility o A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating Guidelinesat the end stands for Agency, typically BIA responsibility o S at the end stands for State, State responsibility o P at the end stands for Park, National Park Service responsibility • 000035 is the incident number, unique to that incident Generally, knowing the state the incident happened in and the 3 letter forest, district, etc. designator will identify the agency you need to contact. Below is an agency list with most 3 letter designators listed for identification. BLM, BIA, NPS BLM (BID, BUD, MCD, LED) Xxxxx Xxx 0000 Xxxxxx Xxxxx Billings, MT 59101 BIA - Rocky Mountain Region (BFA, CRA, FBA, FPA, NCA, RBA) BIA -Northwest Region (FHA) Xxxxxx Xxxxxxxxx Xxxxx Xxxxx 0000 0xx Xxxxxx Xxxxx 000 Xxxxxxxxx 00xx Billings, MT 59101 Portland, OR 97232 000-000-0000 000-000-0000 xxxxxx.xxxxxxxxx@xxx.xxx xxxxx.xxxxx@xxx.xxx NPS - Glacier National Park (GNP) NPS - Yellowstone National Park (YNP) Xxxxx Xxxxx Xxxxxxx XxXxxxx PO Box 128 PO Box 168 West Glacier, MT 59936 Yellowstone National Park, WY 82190-1068 000-000-0000 000-000-0000 xxxxx_xxxxx@xxx.xxx xxxxxxx_xxxxxxx@xxx.xxx USFS Lolo (LNF) & Bitterroot (BRF) National Forests Xxxxxx (CNF) & Gallatin (GNF)National Forests Xxxxxx Xxxxxxxx Xxxxxx Xxxxxx 0000 Xxxxx 0xx Xxxxxx 0000 Xxxxxx Xxxxx Xxxxxxxx, MT 59840 Billings MT 59105 000-000-0000 000-000-0000 xxxxxxxxx00@xxx.xxx.xx xxxxxxxxxxxx@xx.xxx.xx Helena (HNF), Xxxxx & Xxxxx (LCF) , Beaverhead Idaho Panhandle (IPF) , Nez Perce-Clearwater (NCF) Deerlodge (BDF) National Forests National Forests Xxxx Xxxxxx Xxxxxxx Good 0000 00xx Xxxxxx North 000 Xxxxxxx Xxxx Great Falls, MT 59401 Grangeville, ID 83530 000-000-0000 000-000-0000 xxxxxxx@xx.xxx.xx xxxxxx@xx.xxx.xx Kootenai (KNF) & Flathead (FNF) National Forests Xxxxx Xxxxxx 31374 HWY 2 Libby, MT 59923 000-000-0000 xxxxxxx@xx.xxx.xx STATES IDAHO (CAS, CMS, CTS, KVS, MCS, MIS, PDS, PLS, POS, SJS) MONTANA (SWS, NWS, CES, NES, SLO, EAS) Xxxxx Xxxxxx or Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx 0000 Xxxx Xxxxxxxxxx Xxxx 0000 Xxxxxxx Xxxx Coeur d’Alene, ID 83815 Missoula, MT 59804 000-000-0000 000-000-0000 xxxxxxx@xxx.xxxxx.xxx or xxxxxxxx@xxx.xxxxx.xxx xxxxxxxx@xx.xxx NORTH DAKOTA (NDS) Xxxxxxx Xxxxxxx (Acting) 000 Xxxx Xxxxxxxxxx Xxxxxx, Ste 4 Bismarck, ND 58503 701-328-9916 or 000-000-0000 Xxxxxxx.Xxxxxxx@xxxx.xxx ATTACHMENT J USDA Forest Service USDA Forest Service Albuquerque Service Center Incident Business‌‌ 000X Xxx Xxx. NE Albuquerque, NM 87109 National Park Service National Park Service Accounting Operations Center P.O. Box 100000 00000 Xxxxxxx Xxxxxx Xxxxx Xxxxxxx, XX 00000 Federal Payment Offices Bureau of Land Management Xxxxxxx returned to the BLM Local Incident Host Agency‌ Bureau of Indian Affairs Xxxxxxxx, Xxxxx Mountain Region Designated billing office information will be provided by local host agency unit.‌ US Fish and Wildlife Service‌ U.S. Fish and Wildlife Service Attn: RFMC Xxxxx Xxxxxx 000 Xxxxx Xxxxxxxxx, Xxxxx 000 Lakewood, CO 80228 State of Idaho Cataldo‌ 00 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxx Mountain‌ PO Box 68 Craigmont ID 83523 Phone: (000) 000-0000 Fax: (000) 000-0000 Eastern Idaho‌ 0000 Xxxxx Xxxxxxx Idaho Falls, ID 83401. Phone: (000) 000-0000 Fax: (000) 000-0000. Kootenai Valley‌ Route 4, Box 4810 Bonners Ferry, ID 83805. Phone: (000) 000-0000 Fax: (000) 000-0000 Xxxxxx Creek‌ Route 2 Box 190 Kamiah, ID 83536 Phone: (000) 000-0000 Fax: (000) 000-0000 Mica 0000 Xxxxxxxxxx Xxxxxx X. Xxxxx x'Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. Pend Oreille Lake‌ 0000 Xxxxxxx 0 Xxxx Sandpoint, ID 83864. Phone: (000) 000-0000 Fax: (000) 000-0000. Xxxxx Xxxxxx Ponderosa 0000 Xxxxxxx 0 Deary, ID 83823 Phone: (000) 000-0000 Fax: (000) 000-0000. Priest Lake 0000 Xxxxxxxxx Xxx Road Coolin, ID 83821 Phone: (000) 000-0000 Fax: (000) 000-0000 South Central PO Box 149 Gooding, ID 83330 Phone: (000) 000-0000 Fax: (000) 000-0000 Southwest‌ 0000 Xxxx Xxxxx Xxxxxx Xxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000. St. Xxx‌ 0000 Xxxx Xxxxxx Xx. Xxxxxx, XX 00000. Phone: (000) 000-0000 Fax: (000) 000-0000 State Foresters Office 000 Xxxxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Attn: Xxxxxx Xxxxxxx (701) 228-5422‌‌ Clearwater-Potlatch Timber Protective Assn.‌ 00000 Xxxxxxx 00, Xxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Southern Idaho Timber Protective Assn. 000 Xxxxxxxx Xxxx, XxXxxx ID 83638 Phone: (000) 000-0000 Fax: (000) 000-0000 State of North Dakota State of Montana Department of Natural Resources and Conservation DNRC Forestry Division 0000 Xxxxxxx Xx. Missoula MT 59804 DNRC Southwestern Land Office 0000 00xx Xxx Missoula MT 59804 DNRC Central Land Office 0000 X Xxxxxxx Xxx Xxxxxx XX 00000 DNRC Northeastern Land Office PO Box 1021 Lewistown MT 59457 DNRC Eastern Land Office PO Box 1794 Miles City MT 59301 DNRC Southern Land Office Airport Industrial Park 0000 Xxxxxx Xxxxx Billings MT 59105-1978 DNRC Northwestern Land Office 000 Xxxxxxxxxx Xxxxxxx XXX 0 Kalispell MT 59901-1215 ATTACHMENT K

Quality of Product or Service. (How did the Contractor perform, document any noncompliance or performance issues) N/A _0=Unsatisfactory 1=Marginal Poor 2=Satisfactory Fair 3=Very Good 4=Exceptional Excellent 5=Outstanding Government Comments for Quality of Product or Service (2000 characters maximum): Timeliness of Performance (Schedule) (Did the Contractor arrive when expected, demob timely; and perform the work in a timely manner) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Timeliness of Performance (2000 characters maximum): Business Relations (Did the Contractor perform in a business-like manner; complete administrative requirements timely) N/A _0=Unsatisfactory _1=Marginal 2Poor_2=Satisfactory Fair _3=Very Good _4=Exceptional Excellent _5=Outstanding Government Comments for Business Relations (2000 characters maximum): Additional Info Contractor Key Personnel Contractor Manager/Principal Investigator (Owner’s Name): Government Comment on Contractor Manager/Principal Investigator (2000 characters maximum): (If applicable, describe working relationship with government representatives for this assignment) Contractor Key Person (Equipment Operator’s Name): Government Comment on Contractor Key Person (2000 characters maximum): (Describe working relationship with government representatives for this assignment) Customer Satisfaction Is/was the contractor committed to customer satisfaction? Yes No (Check one) Would you recommend ordering the selection of this contractor firm again? Yes No (Check one) Government Comments on Customer Satisfaction (2000 characters maximum): If no to either of above, explain below) Contractor Comments: Contractor (signature) This rating has been discussed with me Date Rated By (signature) Date Admin Info Please Print Project Officer/COTR (Individual completing the evaluation) Name: Phone: Fax: E-mail Address: Contractor Representative Name: Phone: Fax: E-mail Address: **EVALUATOR Alternate Contractor Representative Name: Phone: Fax: E-mail Address: Contracting Officer: Name: Phone: Fax: E-Mail Address: Rating Guidelines Quality of Product or Service 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agencyresources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. Poor Overall compliance requires significant Agency resources to RETURN A COMPLETED EVALUATION FORM TO FINANCE SECTION** Rating Guidelinesensure achievement of contract requirements. Fair Overall compliance requires minor Agency resources to ensure achievement of contract requirements. Good There are no, or very minimal, quality problems, and the Contractor has met the contract requirements. Excellent There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government. Outstanding The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it 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". Timeliness of Performance 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards. Poor Delays require significant Agency resources to ensure achievement of contract requirements. Fair Delays require minor Agency resources to ensure achievement of contract requirements. Good There are no, or minimal, delays that impact achievement of contract requirements. Excellent There are no delays and the contractor has exceeded the agreed upon time schedule. Outstanding The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It isexpected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". Business Relations 0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding Unsatisfactory Response to inquiries and/or technical, service, administrative issues is not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards. Poor Response to inquiries and/or technical, service, administrative issues is marginally effective. Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective. Good Response to inquiries and/or technical, service, administrative issues is consistently effective. Excellent Response to inquiries and/or technical, service, administrative issues exceeds Government expectation. Outstanding The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It isexpected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". ATTACHMENT I