Attachment_K_Past_Performance_Questionnaire_0001.pdf

QUESTIONNAIRE

Reference: FAR 15.608(a)(2)

PAST PERFORMANCE QUESTIONNAIRE

For use in Solicitation Number N110608xxxx, Development, Planning, Design, Fabrication, and Installation of Museum Interpretive Exhibits.

I. CONTRACT IDENTIFICATION

1. Contractor:

2. Client:

3. Contract Number:

4. Project Title:

5. Contract Type: Negotiated Sealed Bid

Fixed-Price Cost Reimbursement

Other

6. Completion Date, or Stage of Completion, if still in progress:

7. Cost: Original Current/Final

8. General description of product and/or service provided:

9. Name, address, telephone number, fax number, and e-mail address of contractor’s primary contact:

II. EVALUATOR IDENTIFICATION

Provide the organization name, address and telephone number, and e-mail address in addition to the evaluator's name, title, signature and date of evaluation.

Name:

Title:

Organization:

Address:

Telephone Number:

E-mail Address:

Signature/Date:

III. PERFORMANCE EVALUATION

Please answer each question to the best of your ability. The answers you provide may be shown to the contractor, but your identity will remain confidential.

1. Quality of Products and Services

To what extent did the firm adhere to specifications or improved the specifications (e.g., proposed changes during contract performance) to provide quality workmanship?

Often surpassed.................................... ( ) 4

Sometimes exceeded............................ ( ) 3

Usually met........................................... ( ) 2

Often did not meet.............................… ( ) 1

Comments:

2. Cost Control

A. To what extent was the contractor able to meet the estimated contract cost (or stay within the fixed-price cost)?

Below...............................................…. ( ) 4

At cost..............................................…. ( ) 3

Exceeded cost....................................... ( ) 2

Considerable surpassed cost................. ( ) 1

B. To what extent were contractor's proposed prices for new items and/or requests for equitable adjustments, as needed, considered reasonable?

Always...............................................… ( ) 4

Usually..............................................…. ( ) 3

Sometimes............................................. ( ) 2

Often were not....................................... ( ) 1

3. Business Relations

A. How effective was the contractor in communicating with the Contracting Officer and/or Technical Representatives on problem solving and recommending solutions, proposing new or improved methods and/or products and showing initiative in overcoming obstacles?

Extremely effective............................... ( ) 4

Generally effective................................ ( ) 3

Generally ineffective..........................… ( ) 2

Extremely ineffective............................. ( ) 1

B. To what extent did the contractor meet your working relationship expectations (e.g., ease of working with, flexible in accommodating program adjustments, reasonable/cooperative behavior, businesslike concern for your interests, etc.)?

Often surpassed..................................... ( ) 4

Sometimes exceeded............................. ( ) 3

Usually met........................................... ( ) 2

Often did not meet.............................… ( ) 1

C. To what extent was the contractor able to provide current, accurate and complete billings?

Always provided................................... ( ) 4

Usually provided................................... ( ) 3

Sometimes provided............................. ( ) 2

Often did not provide........................... ( ) 1

4. Customer Satisfaction

Overall, to what extent were end users satisfied with completed design?

Extremely satisfied............................... ( ) 4

Generally satisfied................................ ( ) 3

Generally not satisfied.....................…. ( ) 2

Extremely not satisfied......................... ( ) 1

5. Timeliness of Performance

A. To what extent did the contractor meet contract performance time and/or delivery schedules?

Often met.............................................. ( ) 4

Sometimes met..................................... ( ) 3

Usually met.......................................… ( ) 2

Often did not meet................................ ( ) 1

NOTE: If the contractor did not meet required performance time or delivery schedules, were liquidated damages assessed?

( ) Yes ( ) No

B. To what extent was the contractor responsive and able to respond to requests for changes in delivery schedule (e.g., acceleration request)?

Often met.............................................. ( ) 4

Usually met.......................................... . ( ) 3

Sometimes met...................................... ( ) 2

Often did not meet................................. ( ) 1

IV. SUMMARY

Would you do business with this contractor again, if you had a choice?

Definitely, without reservations.....................… ( ) 4

Probably, with few reservations........................ ( ) 3

Probably not...........................................……… ( ) 2

Definitely not.........................................……… ( ) 1

Use this section to provide additional information not included above or to explain negative responses.