Attachment_003_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

Solicitation# 140P5324Q0040

Please Complete this Questionnaire and E-mail to Marilia_Mateo@nps.gov

We are currently in the process of preparing our proposal for the National Park Service, Interior Region 2 – North Contracting Office, Solicitation Number: 140P5324Q0040 for the striping and refinishing of floors at the Wright Brothers National Memorial Visitor Center at Cape Hatteras National Seashore. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please Complete this Questionnaire and E-mail to the Contract Specialist at: Marilia_Mateo@nps.gov

This Questionnaire is due to Marilia Mateo no later than 3:00 PM EST on 30 July 2024. The Questionnaire must be submitted directly to the Contract Specialist from a corporate or government email account.

If you will not be available on 30 July 2024 for verification (if necessary) of this past performance evaluation, please indicate another point of contact (POC) for the Contract Specialist to contact.

Alternate POC name: ________________________________________

Alternate POC Phone Number: ________________________________________

Alternate POC E-mail Address: ________________________________________

Thank you.

NAME OF OFFEROR: _______________________________________________________________________________

PHONE / FAX: _______________________________________________________________________________

E-MAIL: _______________________________________________________________________________

I. CURRENT OR HISTORICAL CONTRACT INFORMATION

CONTRACT REFERENCED

1. Contract or Identifying Number: ________________________________________________________________

2. Contract Value: ________________________________________________________________

3. Period of Performance: ________________________________________________________________

4. Brief description of items provided: ________________________________________________________________

5. Name of Person Completing Questionnaire: _________________________________________________________

Agency/Company: _____________________________________________________________________________________

Title: _______________________________________________ Phone: _________________________________________

E-mail: ______________________________________________________________________________________________

II. EVALUATION.

PLEASE RATE THE CONTRACTOR UTILIZING THE GUIDE BELOW. EXPLANATORY NARRATIVES FOR

AS MANY RESPONSES AS POSSIBLE WOULD BE APPRECIATED. THESE NARRATIVES NEED NOT BE

LENGTHY, JUST DETAILED. ATTACH ADDITIONAL PAGES IF MORE SPACE IS NEEDED.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

PAST PERFORMANCE EVALUATION

QUESTION 1: PERFORMANCE

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Performance

Comments, if any.

QUESTIONS 2 AND 3: TIMELINESS

What is your assessment of the Contractor’s ability to provide products in a timely manner?

Timeliness

Ability to Resolve Timeliness Problems

QUESTION 4: QUALITY OF WORK

What is your assessment of the Contractor’s ability to meet requirements of tasks and the overall quality of the work?

Quality of Shipments

Question 5. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional Very Good Satisfactory Marginal Unsatisfactory

General Comments: