Attachment 2 - Past Performance Questionaire.doc

ATTACHMENT 2

PAST PERFORMANCE (PP)

QUESTIONNAIRE INSTRUCTIONS

The offeror identified below is submitting a proposal to the USDA, Food Safety and Inspection Service for “Meeting Planning and Site Selection Services.” Please provide your assessment of the extent of past performance as requested by the enclosed questionnaire.

Space is provided for comments (additional pages may be used if desired); comments would be particularly appreciated when applicable. A Rating Guideline (page 6) is offered for your use in assigning a performance level rating for each of the factors in Section V.

If you have any questions concerning this request, please contact Tim Nyberg, Contract Specialist, timothy.nyberg@usda.gov. The completed document should be returned no later than INSERT DATE at 2:00 pm ET and may be e-mailed to timothy.nyberg@usda.gov.

I.

Contract Information

A.

Name of Company Being Evaluated ______________________________________

B.

Address __________________________________________________

C.

Contract Number __________________________________________________

D.

Contract Type __________________________________________________

Period of Performance

From: _________________ To: _________________

Total Contract Value __________________________________________________

II.

Description of Contract Briefly describe the services provided under this contract.

During the contract performance being evaluated, this firm was the:

Prime Contractor; Significant Subcontractor; Team Member; Other (Describe)

Does a corporate or business relationship exist between the firm being evaluated and your organization? Yes No If so, please describe: ________________________________________________________________________

III.

Evaluator Information Name

Title

Agency/Company

Address

Phone

________________________________ E-mail:__________________________

IV. Relevant Experience 1.

What type of services did the contractor perform for your agency?

2.

Did the contractor perform in a manner that conformed to contract requirements and demonstrated standards of good service? Please explain.

3. Did the contractor adhere to the contract schedule?

4. Did the contractor demonstrate reasonable and cooperative behavior and commitment to customer satisfaction? Did the contractor display a business-like concern for the interest of the customer? Was the customer ultimately satisfied?

5. Based on the contractor’s overall performance, would you award them another contract?

YES or NO - Please explain.

V. Past Performance History Please rate Contractor performance in each of the four categories. Circle the number which corresponds to the performance rating for each category. See the attached page for explanation of the rating scale. In addition, comments will be beneficial so please comment when appropriate.

1.

Quality of Services Rating

-Compliance with contract requirements 1 2 3 4 5 N/A

-Accuracy of reports 1 2 3 4 5 N/A -Appropriateness of personnel 1 2 3 4 5 N/A -Technical excellence 1 2 3 4 5 N/A Comments:

2.

Timeliness Rating -Met interim milestones

1 2 3 4 5 N/A

-Reliable 1 2 3 4 5 N/A -Responsive to technical direction 1 2 3 4 5 N/A -Completed work on time 1 2 3 4 5 N/A Comments:

3.

Cost/Price Control Rating -Within budget (contract value)

1 2 3 4 5 N/A

-Current, accurate, and complete billings 1 2 3 4 5 N/A -Reasonably priced change orders

1 2 3 4 5 N/A

Comments:

4.

Business Relations Rating -Effective management

-Cooperative, business-like correspondence

-Responsive to contract requirements (technical

1 2 3 4 5 N/A and administrative)

-Responsive to emergency service requirements

-Pro-active

Comments:

RATING GUIDELINES

N/A=Not Applicable