Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

Contractor:

The contractor or subcontractor named above, who is doing business (or has done business with your organization in the past, provided your name as a reference for past performance to the USDA Forest Service. The contractor was informed, via a solicitation provision, that by listing you as a reference and requesting your submission of this questionnaire, they are authorizing you to release information to our agency relative to their past performance, whether positive or negative.

Responses will be treated as source selection sensitive information.

Please answer the questionnaire, using adjectival ratings provided. Handwritten or electronic responses are acceptable.

If you need more space than provided, please attach additional pages. Email, scan or fax the completed questionnaire directly from you to the attention of the Gemaa Pelch: *Fax: (601)965-1788, *Email: gpelch02@fs.fed.us

Name of Respondent:

Title:

Agency/Company Name:

Telephone Number:

Email Address:

Contract Number/ Project Reference Number:

Description of Project:

Project Location:

Total Contract Value:

Period of Performance:

Explanation of Adjectival Ratings:

E EXCEPTIONAL: Performance met contractual requirements and substantially exceeded most (requirements). Any problems encountered resulted in corrective actions taken by the contractor which exceeded expectations and were highly effective. Contractor consistently performed at the highest level.

V VERY GOOD: Performance met contractual requirements and exceeded some

(requirements). Any problems encountered resulted in corrective actions taken by the contractor which were effective.

S SATISFACTORY: Performance met all minimum requirements. Any problems encountered resulted in corrective actions taken by the contractor which appear or were satisfactory.

M MARGINAL: Contractor met contract requirements with minor government agency resource oversight or assistance. Performance appeared weak in meeting all minimum contractual requirements.

P POOR: Performance may not have met minimum contractual requirements or nonconformance jeopardized the achievement of contract requirements. Performance necessitated major government agency oversight or assistance.

N NEUTRAL: Relevant past performance does not exist or information is not available.

Offeror is not evaluated favorably or unfavorably.

mailto:gpelch02@fs.fed.us

Using the codes above, circle the appropriate letter for each item on the questionnaire and record any comments.

QUALITY OF WORKMANSHIP

• Rate the contractor's compliance with contract terms and conditions and statement of work.

Comments:

• Did the contractor provide adequate, competent and qualified management, key personnel and technical personnel capable of meeting contract requirements throughout the performance period of the contract?

• How well did the contractor work independent of agency guidance, oversight and assistance?

• How effective was the contractor in meeting Cost/Price performance targets and controlling costs (i.e. changes, etc.)? Did they demonstrate reasonableness in modifications scope and costs?

• Were subcontractors/tradesmen adequately managed and coordinated?

Explain any subcontracting issues (positive or negative) that impacted the performance of your contract(s).

CUSTOMER SATISFACTION

• How reasonable and cooperative was the contractor during performance?

• How committed was the contractor to customer satisfaction?

TIMELINESS OF PERFORMANCE

• How well did the contractor adhere to the agreed-to schedule?

E V S M P N

E V S M P N

E V S M P N

E V S M P N

• Did the contractor provide timely notice of delays/schedule revisions?

What were the causes of any schedule variances?

• Were data, deliverables, and reports submitted on time?

SAFETY RECORD

• How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations?

• Did the contractor implement and follow their safety plan?

• Did they run a “safe jobsite”?

OVERALL PAST PERFORMANCE

• What is your overall rating of the contractor’s performance?

• What are the contractor's strengths?

• Did you recognize any weaknesses of the contractor during performance?

• Given the choice, would you work with this contractor again? Why or why not?

Thank you for your assistance.

E V S M P N

E V S M P N

E V S M P N

YES NO