USDA Past Performance Rating Form (A03).pdf

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION 12-1NTP-24-Q-0002

PLEASE RETURN TO travis.cathey@usda.gov

Date:

To: [Customer's Firm]

From: [Contractor's Firm]

Subject: Past Performance Questionnaire, Solicitation 12-1NTP-24-Q-0002, Marine Cargo Survey Services

We are currently in the process of preparing our proposal for the United States Department of Agriculture, Agricultural Marketing Service, Solicitation Number 12-1NTP-24-Q-0002. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this questionnaire and e-mail to Contracting Officer via travis.cathey@usda.gov.

Questionnaire is due to Travis Cathey no later than October 23, 2023. Questionnaire must be submitted directly to the Contracting Officer from a corporate email account.

For the purpose of gathering USDA past performance information please complete the following questions to the best of your knowledge, only considering contracts for the past three years.

Thank you.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

VERY GOOD

Performance EXCEEDS contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A) Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

PLEASE RETURN TO travis.cathey@usda.gov

Past Performance Evaluation

This Past Performance Questionnaire is Regarding:

[Insert contractor's name]

Question 1. Performance:

What is your assessment of the Contractor’s ability to meet your requirements?

Very Good Satisfactory Marginal Unsatisfactory

Performance

Comments, if any.

Question 2. Timeliness:

What is your assessment of the Contractor’s ability to provide deliverables in a timely manner?

Timeliness

Ability to Resolve Timeliness Problems

Comments, if any.

Question 3. Overall Rating of Contractor’s performance:

What is your overall rating of Contractor’s performance (requirements and schedule) on contract being assessed?

PLEASE RETURN TO travis.cathey@usda.gov

General Comments:

Name of Evaluator*: __________________________________________ Date: ____________

Title: ______________________________________________________

Customer’s Firm: _____________________________________________

*Name of Individual completing questionnaire—this must be an employee of the customer’s firm involved with the work being reported on.