Past_Performance_Questionnaire_0003.docx

DOCX document 27 KB Posted

Attached to
Employee Relations and Anti-Harassment Program Support Federal contract opportunity
Solicitation number
12318718R0001
Issued by
Department of Agriculture Forest Service Washington Office Acquisitions

About this file

Past Performance Questionnaire with Updated Due Date. The previous version is ok to use as well.

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SOURCE SELECTION INFORMATION

12318718R0001 0003 Past Performance Questionnaire

PAST / PRESENT PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104

Please return this completed questionnaire by 20 April 2018 via email to Todd Mathie at tmathie@fs.fed.us.

SECTION 1: CONTRACT IDENTIFICATION

A.
Contractor:
B.
Contract number:
C.
Contract type:
D.
Was this a competitive contract?
E.
Period of performance:
F.
Place of performance:
G.
Contract Value:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A.
Customer or Agency Name:
B.
Evaluator's Name:
C.
Evaluator's Title:
D.
Evaluator's Phone:
E.
Evaluator's E-mail:

SECTION 3: EVALUATION RATINGS

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 performance category.

E
EXCEPTIONAL
The contractor has substantially exceeded the contract performance requirements.
VG
VERY GOOD
There are no, or very minimal issues and the contractor has met the contract requirements.
S
SATISFACTORY
Overall compliance requires minor agency resources to ensure achievement of contract requirements.
M
MARGINAL
Overall compliance requires significant agency resources to ensure achievement of contract requirements.
U
UNSATISFACTORY
Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery will not be likely. If performance cannot be substantially corrected, it will constitute a significant impediment in consideration for future awards for similar requirements.
N
NOT APPLICABLE
Unable to provide a score.

SECTION 4: EVALUATION FACTORS

1. Ratings
E
VG
S
M
U
N

Quality of Service.

Effectiveness of Meeting Schedule.

Cost Control.

Business Relations.

Management of Key Personnel

SECTION 5: NARRATIVE SUMMARY

1. Did the scope of this contract include executive level Employee Relations Consulting Services to a Government agency?

2. Would you hire this contractor in the future to perform one of your critical and demanding projects? programs?

3. Please provide any additional comments concerning this contractor’s performance, as desired.

__________________________________________________________
Evaluator’s SignatureDate

Thank you for your assistance!

File details come from the government source that posted it.