GSA353
Performance Evaluation and Facilities Report
GSA Form 353, Performance Evaluation & Facilities Report, is a General Services Administration form, GSA FORM 353 (REV. 9-93), Prescribed by GSAR 509.106-2. The footer says it is an exception to SF 1403-1406, approved by GSA/IRMS 10/94. GSA hosts it in its forms library.
It is an 8-page report about an offeror or contractor, built in three sections. Section I, the PCO Request, identifies the offeror or contractor, the solicitation or contract, the reason for the request and the solicitation items. Section II, the QAS Evaluation, covers monthly capacity, the company, personnel, equipment, plant, quality system and EEO compliance from observation, and is signed by the Quality Assurance Specialist. Section III, Performance History and ACO Analysis, summarizes earlier contracts and is signed by the Administrative Contracting Officer.
Item 11 records a recommendation of capable or incapable of performing, and item 13 is the approval of the Director, Contract Management Division. You can fill it out free in your browser on this page and download the result without an account.
Offeror or contractor identification, representation (small, large, 8A, MFGR, dealer), inspection point, solicitation or contract number and estimated dollar value, special requirements, special information for contract management, reason for request and requester.
Solicitation items with nomenclature, NSN and requirements, monthly capacity and commitments, a summary of ACO/QAS findings, the capable or incapable recommendation, zone, date received, control number and approval.
Type of company, key personnel interviewed, year established, personnel, production equipment, union affiliation, shifts, square meters under roof, comments, special tooling, production methods and other items produced.
Documented quality system, organization and management responsibility, process controls, inspection and test equipment, statistical techniques, quality records, technical document control, and packaging, packing and marking.
EEO compliance from observation only, remarks and additional comments, the QAS analysis and recommendation, and the Quality Assurance Specialist's signature.
A summary of contracts beginning with the most recent, with purchase order, delinquency, test, complaint and hold data and ACO comments, then the ACO summary analysis and signature.
The form numbers its items 1 and 3 to 31, then 33 and 34. No item 2 or item 32 is printed.
In Section I, identify the offeror or contractor, check its representation, give the solicitation or contract number and estimated dollar value, the reason for the request, and the requester's details and date.
In item 8, enter each item number, nomenclature and NSN, with peak monthly and total requirements in units.
Enter monthly capacity and commitments in item 9, then the company, facilities and quality system findings in items 14 to 29. The Quality Assurance Specialist signs item 30.
In item 31, enter each contract beginning with the most recent, with ACO comments. Item 33 is the ACO summary analysis of overall performance and recommendations, and the Administrative Contracting Officer signs item 34.
Item 10 summarizes the ACO/QAS findings and item 11 has boxes for capable or incapable of performing. Item 12 takes the zone, date received and control number, and item 13 is the Director's approval.
The form prints no instructions. These steps follow its sections and signature blocks.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no filing address. Its approval block, item 13, is for the Director, Contract Management Division.
The footer reads GSA FORM 353 (REV. 9-93), Prescribed by GSAR 509.106-2. GSA's page lists the authority as GSAR 509.106-2 Exception to SF1403-1406. Approved by GSA 1994.
The footer reads EXCEPTION TO SF 1403-1406, APPROVED BY GSA/IRMS 10/94. The form does not explain the exception further.
The form uses terms such as PCO, CEC, CAL, GC, CC, T for D and QDN without spelling them out.
The form prints no instructions, no Privacy Act statement and no burden estimate.
SF1403
226 fields, 2 pages
SF1404
24 fields, 1 page
SF1405
706 fields, 4 pages
SF1406
106 fields, 2 pages
GSA3539
19 fields, 1 page
The form names the people who fill in and sign each section. The offeror or contractor is the subject of the report.
No tool matches that search.
The form names a PCO requester for Section I, a Quality Assurance Specialist for Section II and an Administrative Contracting Officer for Section III, with approval by the Director, Contract Management Division in item 13.
No signature block for the offeror or contractor is printed. The company is identified in item 1, and item 15 lists key personnel interviewed, with name, title and years with the firm.
Item 11 has two boxes: capable of performing and incapable of performing. Item 29 holds the QAS analysis and recommendation, and item 33 the ACO summary analysis and recommendations.
The footer reads EXCEPTION TO SF 1403-1406, APPROVED BY GSA/IRMS 10/94, and GSA's page lists GSAR 509.106-2 Exception to SF1403-1406. The form does not explain the exception further.
For each contract, beginning with the most recent: contract number and period, FSC/nomenclature, purchase orders issued and delinquent, T for D, QDNs, cure and show cause letters, laboratory tests, deviations, first article, complaints, holds and ACO comments.
Item 27, EEO compliance (from observation only), asks whether EEO posters are displayed where all employees can read them and for any evidence of segregated facilities.