B08 - Attachment #5 - Past Performance Questionnaire.docx

RFP Attachment #5 Past Performance Questionnaire

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

DIGITAL EVIDENCE MANAGEMENT SYSTEM (DEMS)

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND WILL NOT BE RELEASED TO THE OFFEROR.

I. Please provide the following information about yourself:

Name of Respondent and Role Relative to Contract (Buyer, Program Manager, etc.)

Name:

Role:

Agency or Business:

Address:

Telephone No.:

Email address:

II. Please provide the following information on the specific program:

Contractor/Business:

Contract Number:

Program Title and Brief Description:

Contractor’s Role in the Program:

Prime

Subcontractor

Vendor/Supplier

Option:

No:

III. General Information about this Contract Period of Performance of Contract or Effort Beginning Date (mm/yyyy)

Through (mm/yyyy)

Have there been any changes to the original schedule? If yes, please explain.

IV. The following section will require you to rate the past/present performance of the offeror. Should your response be other than “satisfactory,” please provide supporting documentation. If supporting documentation is not provided for ratings that are other than “satisfactory,” the ratings will be considered to be unsubstantiated and will be interpreted as satisfactory. To assist you in your evaluation, please use the following definitions:

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

PERFORMANCE ASSESSMENT

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Hired, trained, and applied a qualified workforce to this effort.

3. Acquired appropriate security clearances for personnel, as required.

4. Provides effective quality control and/or inspection procedures to meet contract requirements.

6. Provided timely resolution of contract discrepancies.

7. Provided accurate and complete reports, invoices, and documentation in a timely manner.

8. Provided timely and responsive service.

10. Offered responsive IT service support to resolve IT and equipment maintenance issues.

12. Demonstrated positive responsiveness to unscheduled requirements or contract changes.

15. Overall commitment to customer satisfaction.

16. Demonstrated professionalism and courtesy in dealing with customers.

17. How would you rate the contractor’s overall performance for this contract?

Additional Comments for 1-17: (please indicate number next to comment)

V. Miscellaneous Questions

18. Has action been initiated to cancel or terminate the contract for default? If yes, explain.

19. Have there been any disputes/claims relative to the contract? If yes, explain.

20. Describe the contractor’s or companies strong and/or weak points identified during the life of the contract.

21. If given a choice, would you award to this contractor again? If not, please explain.

22. Do you feel you “got what you paid for”? Please explain.

23. Additional Remarks.

The comments and information you’ve provided are invaluable to the source selection process. The Department of the Interior thanks you for taking the time to fill out this questionnaire.