J4 - Past Performance Questionnaire.doc
DOC document 63 KB Posted
- Attached to
- Robot Encoder System - Library of Congress
- Solicitation number
- 030ADV25R0012
- Issued by
-
Library of Congress
About this file
This is a Past Performance Questionnaire template (Attachment J4) for solicitation 030ADV25R0012 for the Library of Congress Robot Encoder System Replacement project. The questionnaire is designed to evaluate previous contractor performance across seven key areas: overall satisfaction, quality, schedule, cost/price, personnel, contract management, and communication/problem resolution. Each area is rated on a 5-point scale, with 1 being below standard and 5 exceeding requirements.
The form requires details about the previous contract (including contract number, type, period of performance, and cost), information about any terminations, and narrative responses about the contractor's strengths and weaknesses. References must indicate if they would hire the contractor again for critical programs. Completed questionnaires are to be returned to Colleen Daly and James Robinson at the Library of Congress. This is a standard evaluation template and does not contain specific details about the current Robot Encoder System project requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| J2 - LOC Moving Image File Specifications.docx | DOCX document | |
| J3 - LOC Moving Image File Encoder Requirements.docx | DOCX document | |
| 030ADV25R0012.pdf | ||
| J1 - NAVCC Documentation Standards (v1.2) 09192024.docx | DOCX document |
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Text version
ATTACHMENT J4 –PAST PERFORMANCE QUESTIONNAIRE
030ADV25R0012 – Robot Encoder System Replacement
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A.
Contractor: _______________________________________ B.
Agency Contract number:____________________________________
C.
Contract type:______________________________________
D.
Was this a competitive contract? Yes
No
E.
Period of performance: _________________ F.
Contract cost or price:___________________________________ G.
Description of work:____________________________________________________________________ Government Contracts Only: Was this contract partially or fully terminated for default or convenience or are there any pending terminations?
Default______
Convenience______
Pending Termination______ If any applies, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc): ____________________________________________________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
A.
Customer or agency name: _________________________________________________________________________ B.
Geographic description of services under this contract, i.e. local, nationwide, worldwide:
SECTION 3: EVALUATOR IDENTIFICATION
A.
Evaluator's name and title: __________________________________________________________________________.
B.
Evaluator's phone/fax number: _______________________________________________________________________.
C.
Number of years evaluator worked on subject contract:_____________________.
SECTION 4: EVALUATION
Please indicate your satisfaction with the contractor's performance by placing an "X" in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
· 2:
Performance occasionally does not meet minimum contract performance standard or requirement
· 3:
Performance that meets the minimum contract performance standard or requirement
· 4:
Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:
Performance that almost always exceeds the contract performance standard or requirement
| 1. Overall satisfaction |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Overall satisfaction with performance. Would you (the reference) choose to work with this offeror again?
| 2. Quality |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 3. Schedule |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Schedule includes delivery consistency, on-time performance, and flexibility in responding to emerging issues.
| 4. Cost/Price |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Cost/price refers to the offeror’s ability to manage the work within the agreed upon cost or price.
| 5. Personnel |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the quality of the contractor’s staff in executing the project work scope.
| 6. Contract Management |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes quality and timeliness in sourcing, invoicing, and reporting under the contract.
| 7. Communication and problem resolution |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes the offeror’s ability to communicate and solve problems in a timely and effective manner.
SECTION 5: NARRATIVE SUMMARY
What were the contractor's greatest strengths in performance of the contract?
What were the contractor's greatest weaknesses in the performance of the contract?
Would you hire this contractor in the future to perform one of your critical and demanding programs?
| YES |
| NO |
Evaluator Signature:
Date:
Thank you for your prompt response and assistance!
Please return this completed questionnaire with the Subject: RFQ 030ADV25R0012 to Colleen Daly at cdaly@loc.gov and James Robinson at jarobinson@loc.gov.
Attachment J4
File details come from the government source that posted it. Updated .