Attachment_4_-_Past_Performance_Questionnaire.pdf

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ACEP/WRE Appraisals for NRCS Texas
Solicitation number
12FPC319Q0021
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Attachment 4 - Past Performance Questionnaire

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Attachment 4 - PAST PERFORMANCE QUESTIONNAIRE: RFQ 12FPC319Q0021

PAST PERFORMANCE QUESTIONNAIRE

Offerors must have at least three (3) questionnaires completed by customers and have returned sealed to this office NLT the date established for receipt of offers.

Name of offeror questionnaire is being completed for:

Name of company completing questionnaire:

Contract/Job Number:

Name, title and phone number of person completing questionnaire:

Name: _________________________________

Title: __________________________________

Phone: ________________________________

Length of time your firm has been involved with the offeror:

SUBMIT PAST PERFORMANCE COVER SHEET AND QUESTIONNAIRE BY PROPOSAL DUE DATE

TO:

Denise.brooks@usda.gov Denise Brooks, Contracting Officer (RFQ 12FPC319Q0021) USDA Farm Production and Conservation Business Center (FPAC-BC) 339 Busch’s Frontage Road, Suite 301 Annapolis, MD 21409 mailto:Denise.brooks@usda.gov

PAST PERFORMANCE QUESTIONNAIRE

RATING SCALE

Please use the following ratings to answer the questions. If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark neutral.

EVALUATION CRITERIA

Excellent

The offeror’s performance was consistently superior. The contractual performance was accomplished with only minor problems for which corrective action taken by the contractor was highly effective.

Good

The offeror’s performance was better than average, and you would willingly do business with the offeror again. The contractual performance was accomplished with minor problems for which corrective actions taken by the contractor were effective.

Neutral

No record exists.

Average

The offeror’s performance was satisfactory, and consideration would take part in awarding a contract to the offeror again. The contractual performance reflects a problem for which the contractor has not yet implemented corrective actions.

Poor

The offeror’s performance was entirely unsatisfactory, and you would not do business with the offero again under any circumstances. The contractual performance being assessed contains problems for which the contractor‘s corrective actions appear to be or were ineffective.

NOTE:

For statements indicating “Poor”, please provide a brief explanation in the comments section of the survey.

CONTRACTOR PERFORMANCE EVALUATION SURVEY

POOR

AVERAGE

NEUTRAL

GOOD

EXCELLENT

QUALITY OF PRODUCT OR SERVICE:

The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship.

The Contractor submitted accurate reports.

The Contractor utilized personnel that were appropriate to the effort performed.

COST CONTROL:

The Contractor performed the effort within the estimated cost/price.

The Contractor submitted accurate invoices on a timely basis.

The Contractor demonstrated cost efficiencies in performing the required effort.

The actual costs/rates realized closely reflected the negotiated costs/rates.

SCHEDULE:

The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

The Contractor was responsive to technical and/or contractual direction.

BUSINESS RELATIONSHIPS:

The Contractor demonstrated effective management over the effort performed.

The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC) were apprised of technical, cost, and schedule issues.

POOR

AVERAGE

NEUTRAL

GOOD

EXCELLENT

The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

The Contractor promptly notified the COR, TPOC, and/or Contracting Officer in a timely manner regarding urgent issues.

The Contractor cooperated with the contracting agency or organization in providing flexible, proactive, and effective recommended solutions to critical program issues.

The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.

CUSTOMER SATISFACTION:

The products/services provided adequately met the needs of the program.

The Contractor was able to perform with minimal or no direction from the COR or the TPOC.

I am satisfied with the performance of the Contractor under this effort.

KEY PERSONNEL:

The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.

The Contractor proposed and used qualified personnel to fulfill the requirements of the contract.

Comments:

PAST PERFORMANCE QUESTIONNAIRE
CONTRACTOR PERFORMANCE EVALUATION SURVEY
Attachment 4 PAST PERFORMANCE QUESTIONNAIRE RFQ 12FPC319Q0021:
Name of offeror questionnaire is being completed 1:
Name of offeror questionnaire is being completed 2:
Name of offeror questionnaire is being completed 3:
Name of offeror questionnaire is being completed 4:
undefined:
ContractJob Number:
Name:
Title:
Phone:
undefined_2:
1:
Attachment 4 PAST PERFORMANCE QUESTIONNAIRE RFQ 12FPC319Q0021_2:
2:
Attachment 4 PAST PERFORMANCE QUESTIONNAIRE RFQ 12FPC319Q0021_3:
POORQUALITY OF PRODUCT OR SERVICE:
AVERAGEQUALITY OF PRODUCT OR SERVICE:
NEUTRALQUALITY OF PRODUCT OR SERVICE:
GOODQUALITY OF PRODUCT OR SERVICE:
EXCELLENTQUALITY OF PRODUCT OR SERVICE:
QUALITY OF PRODUCT OR SERVICERow1:
POORRow2:
AVERAGERow2:
NEUTRALRow2:
GOODRow2:
EXCELLENTRow2:
POORThe Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanship:
AVERAGEThe Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanship:
NEUTRALThe Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanship:
GOODThe Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanship:
EXCELLENTThe Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanship:
The Contractor provided a product or service that conformed to contract requirements specifications and standards of good workmanshipRow1:
POORRow4:
AVERAGERow4:
NEUTRALRow4:
GOODRow4:
EXCELLENTRow4:
POORThe Contractor submitted accurate reports:
AVERAGEThe Contractor submitted accurate reports:
NEUTRALThe Contractor submitted accurate reports:
GOODThe Contractor submitted accurate reports:
EXCELLENTThe Contractor submitted accurate reports:
The Contractor submitted accurate reportsRow1:
POORRow6:
AVERAGERow6:
NEUTRALRow6:
GOODRow6:
EXCELLENTRow6:
POORThe Contractor utilized personnel that were appropriate to the effort performed:
AVERAGEThe Contractor utilized personnel that were appropriate to the effort performed:
NEUTRALThe Contractor utilized personnel that were appropriate to the effort performed:
GOODThe Contractor utilized personnel that were appropriate to the effort performed:
EXCELLENTThe Contractor utilized personnel that were appropriate to the effort performed:
The Contractor utilized personnel that were appropriate to the effort performedRow1:
POORRow8:
AVERAGERow8:
NEUTRALRow8:
GOODRow8:
EXCELLENTRow8:
POORCOST CONTROL:
AVERAGECOST CONTROL:
NEUTRALCOST CONTROL:
GOODCOST CONTROL:
EXCELLENTCOST CONTROL:
COST CONTROLRow1:
POORRow10:
AVERAGERow10:
NEUTRALRow10:
GOODRow10:
EXCELLENTRow10:
POORThe Contractor performed the effort within the estimated costprice:
AVERAGEThe Contractor performed the effort within the estimated costprice:
NEUTRALThe Contractor performed the effort within the estimated costprice:
GOODThe Contractor performed the effort within the estimated costprice:
EXCELLENTThe Contractor performed the effort within the estimated costprice:
The Contractor performed the effort within the estimated costpriceRow1:
POORRow12:
AVERAGERow12:
NEUTRALRow12:
GOODRow12:
EXCELLENTRow12:
POORThe Contractor submitted accurate invoices on a timely basis:
AVERAGEThe Contractor submitted accurate invoices on a timely basis:
NEUTRALThe Contractor submitted accurate invoices on a timely basis:
GOODThe Contractor submitted accurate invoices on a timely basis:
EXCELLENTThe Contractor submitted accurate invoices on a timely basis:
The Contractor submitted accurate invoices on a timely basisRow1:
POORRow14:
AVERAGERow14:
NEUTRALRow14:
GOODRow14:
EXCELLENTRow14:
POORThe Contractor demonstrated cost efficiencies in performing the required effort:
AVERAGEThe Contractor demonstrated cost efficiencies in performing the required effort:
NEUTRALThe Contractor demonstrated cost efficiencies in performing the required effort:
GOODThe Contractor demonstrated cost efficiencies in performing the required effort:
EXCELLENTThe Contractor demonstrated cost efficiencies in performing the required effort:
The Contractor demonstrated cost efficiencies in performing the required effortRow1:
POORRow16:
AVERAGERow16:
NEUTRALRow16:
GOODRow16:
EXCELLENTRow16:
POORThe actual costsrates realized closely reflected the negotiated costsrates:
AVERAGEThe actual costsrates realized closely reflected the negotiated costsrates:
NEUTRALThe actual costsrates realized closely reflected the negotiated costsrates:
GOODThe actual costsrates realized closely reflected the negotiated costsrates:
EXCELLENTThe actual costsrates realized closely reflected the negotiated costsrates:
The actual costsrates realized closely reflected the negotiated costsratesRow1:
POORRow18:
AVERAGERow18:
NEUTRALRow18:
GOODRow18:
EXCELLENTRow18:
POORSCHEDULE:
AVERAGESCHEDULE:
NEUTRALSCHEDULE:
GOODSCHEDULE:
EXCELLENTSCHEDULE:
SCHEDULERow1:
POORRow20:
AVERAGERow20:
NEUTRALRow20:
GOODRow20:
EXCELLENTRow20:
POORThe tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract:
AVERAGEThe tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract:
NEUTRALThe tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract:
GOODThe tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract:
EXCELLENTThe tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract:
The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contractRow1:
POORRow22:
AVERAGERow22:
NEUTRALRow22:
GOODRow22:
EXCELLENTRow22:
POORThe Contractor was responsive to technical andor contractual direction:
AVERAGEThe Contractor was responsive to technical andor contractual direction:
NEUTRALThe Contractor was responsive to technical andor contractual direction:
GOODThe Contractor was responsive to technical andor contractual direction:
EXCELLENTThe Contractor was responsive to technical andor contractual direction:
The Contractor was responsive to technical andor contractual directionRow1:
POORRow24:
AVERAGERow24:
NEUTRALRow24:
GOODRow24:
EXCELLENTRow24:
POORBUSINESS RELATIONSHIPS:
AVERAGEBUSINESS RELATIONSHIPS:
NEUTRALBUSINESS RELATIONSHIPS:
GOODBUSINESS RELATIONSHIPS:
EXCELLENTBUSINESS RELATIONSHIPS:
BUSINESS RELATIONSHIPSRow1:
POORRow26:
AVERAGERow26:
NEUTRALRow26:
GOODRow26:
EXCELLENTRow26:
POORThe Contractor demonstrated effective management over the effort performed:
AVERAGEThe Contractor demonstrated effective management over the effort performed:
NEUTRALThe Contractor demonstrated effective management over the effort performed:
GOODThe Contractor demonstrated effective management over the effort performed:
EXCELLENTThe Contractor demonstrated effective management over the effort performed:
The Contractor demonstrated effective management over the effort performedRow1:
POORRow28:
AVERAGERow28:
NEUTRALRow28:
GOODRow28:
EXCELLENTRow28:
Contact TPOC were apprised of technical cost and:
GOODThe Contractor maintained an open line of communication so that the Contracting Officers Representative COR andor Technical Point of Contact TPOC were apprised of technical cost and schedule issues:
EXCELLENTThe Contractor maintained an open line of communication so that the Contracting Officers Representative COR andor Technical Point of Contact TPOC were apprised of technical cost and schedule issues:
3:
Attachment 4 PAST PERFORMANCE QUESTIONNAIRE RFQ 12FPC319Q0021_4:
POORThe Contractor presented information and correspondence in a clear concise and businesslike manner:
AVERAGEThe Contractor presented information and correspondence in a clear concise and businesslike manner:
NEUTRALThe Contractor presented information and correspondence in a clear concise and businesslike manner:
GOODThe Contractor presented information and correspondence in a clear concise and businesslike manner:
EXCELLENTThe Contractor presented information and correspondence in a clear concise and businesslike manner:
The Contractor presented information and correspondence in a clear concise and businesslike mannerRow1:
POORRow2_2:
AVERAGERow2_2:
NEUTRALRow2_2:
GOODRow2_2:
EXCELLENTRow2_2:
POORThe Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issues:
AVERAGEThe Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issues:
NEUTRALThe Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issues:
GOODThe Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issues:
EXCELLENTThe Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issues:
The Contractor promptly notified the COR TPOC andor Contracting Officer in a timely manner regarding urgent issuesRow1:
POORRow4_2:
AVERAGERow4_2:
NEUTRALRow4_2:
GOODRow4_2:
EXCELLENTRow4_2:
The Contractor cooperated with the contracting agency:
GOODThe Contractor cooperated with the contracting agency or organization in providing flexible proactive and effective recommended solutions to critical program issues:
EXCELLENTThe Contractor cooperated with the contracting agency or organization in providing flexible proactive and effective recommended solutions to critical program issues:
The Contractor cooperated with the contracting agency or organization in providing flexible proactive and effective recommended solutions to critical program issuesRow1:
POORRow6_2:
AVERAGERow6_2:
NEUTRALRow6_2:
GOODRow6_2:
EXCELLENTRow6_2:
POORThe Contractor made timely award to and demonstrated effective management of its subcontractors:
AVERAGEThe Contractor made timely award to and demonstrated effective management of its subcontractors:
NEUTRALThe Contractor made timely award to and demonstrated effective management of its subcontractors:
GOODThe Contractor made timely award to and demonstrated effective management of its subcontractors:
EXCELLENTThe Contractor made timely award to and demonstrated effective management of its subcontractors:
The Contractor made timely award to and demonstrated effective management of its subcontractorsRow1:
POORRow8_2:
AVERAGERow8_2:
NEUTRALRow8_2:
GOODRow8_2:
EXCELLENTRow8_2:
POORThe Contractor demonstrated an effective smallsmall disadvantaged business subcontracting program:
AVERAGEThe Contractor demonstrated an effective smallsmall disadvantaged business subcontracting program:
NEUTRALThe Contractor demonstrated an effective smallsmall disadvantaged business subcontracting program:
GOODThe Contractor demonstrated an effective smallsmall disadvantaged business subcontracting program:
EXCELLENTThe Contractor demonstrated an effective smallsmall disadvantaged business subcontracting program:
The Contractor demonstrated an effective smallsmall disadvantaged business subcontracting programRow1:
POORRow10_2:
AVERAGERow10_2:
NEUTRALRow10_2:
GOODRow10_2:
EXCELLENTRow10_2:
POORCUSTOMER SATISFACTION:
AVERAGECUSTOMER SATISFACTION:
NEUTRALCUSTOMER SATISFACTION:
GOODCUSTOMER SATISFACTION:
EXCELLENTCUSTOMER SATISFACTION:
CUSTOMER SATISFACTIONRow1:
POORRow12_2:
AVERAGERow12_2:
NEUTRALRow12_2:
GOODRow12_2:
EXCELLENTRow12_2:
POORThe productsservices provided adequately met the needs of the program:
AVERAGEThe productsservices provided adequately met the needs of the program:
NEUTRALThe productsservices provided adequately met the needs of the program:
GOODThe productsservices provided adequately met the needs of the program:
EXCELLENTThe productsservices provided adequately met the needs of the program:
The productsservices provided adequately met the needs of the programRow1:
POORRow14_2:
AVERAGERow14_2:
NEUTRALRow14_2:
GOODRow14_2:
EXCELLENTRow14_2:
POORThe Contractor was able to perform with minimal or no direction from the COR or the TPOC:
AVERAGEThe Contractor was able to perform with minimal or no direction from the COR or the TPOC:
NEUTRALThe Contractor was able to perform with minimal or no direction from the COR or the TPOC:
GOODThe Contractor was able to perform with minimal or no direction from the COR or the TPOC:
EXCELLENTThe Contractor was able to perform with minimal or no direction from the COR or the TPOC:
The Contractor was able to perform with minimal or no direction from the COR or the TPOCRow1:
POORRow16_2:
AVERAGERow16_2:
NEUTRALRow16_2:
GOODRow16_2:
EXCELLENTRow16_2:
POORI am satisfied with the performance of the Contractor under this effort:
AVERAGEI am satisfied with the performance of the Contractor under this effort:
NEUTRALI am satisfied with the performance of the Contractor under this effort:
GOODI am satisfied with the performance of the Contractor under this effort:
EXCELLENTI am satisfied with the performance of the Contractor under this effort:
I am satisfied with the performance of the Contractor under this effortRow1:
POORRow18_2:
AVERAGERow18_2:
NEUTRALRow18_2:
GOODRow18_2:
EXCELLENTRow18_2:
POORKEY PERSONNEL:
AVERAGEKEY PERSONNEL:
NEUTRALKEY PERSONNEL:
GOODKEY PERSONNEL:
EXCELLENTKEY PERSONNEL:
KEY PERSONNELRow1:
POORRow20_2:
AVERAGERow20_2:
NEUTRALRow20_2:
GOODRow20_2:
EXCELLENTRow20_2:
POORThe labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance:
AVERAGEThe labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance:
NEUTRALThe labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance:
GOODThe labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance:
EXCELLENTThe labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance:
The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performanceRow1:
POORRow22_2:
AVERAGERow22_2:
NEUTRALRow22_2:
GOODRow22_2:
EXCELLENTRow22_2:
POORThe Contractor proposed and used qualified personnel to fulfill the requirements of the contract:
AVERAGEThe Contractor proposed and used qualified personnel to fulfill the requirements of the contract:
NEUTRALThe Contractor proposed and used qualified personnel to fulfill the requirements of the contract:
GOODThe Contractor proposed and used qualified personnel to fulfill the requirements of the contract:
EXCELLENTThe Contractor proposed and used qualified personnel to fulfill the requirements of the contract:
CommentsRow1:
CommentsRow2:
CommentsRow3:
CommentsRow4:
CommentsRow5:
4:

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