15 Volume II - Attachment 3 Past Performance Questionnaire 47QCTA-23-Q-0002.pdf
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- Attached to
- Supply Chain Risk Illumination Professional Tools and Services (SCRIPTS) Blanket Purchase Agreement (BPA) Federal contract opportunity
- Solicitation number
- 47QTCA-24-Q-0003
About this file
This document contains a past performance questionnaire template for a federal contractor to submit references on previous contracts in response to solicitation number 47QCTA-23-Q-0002 from the General Services Administration. The template requests information on the contractor and reference name, contact information, contract period of performance, value, type, description, complexity, and performance ratings on quality, personnel, cost control, customer satisfaction, timeliness, business relations, and overall performance. Ratings are on a scale of exceptional, very good, satisfactory, marginal, and unsatisfactory. Comments are required or recommended based on the rating. The reference is also asked if they would hire the contractor again and why.
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Text version
Volume II - ATTACHMENT 3
PAST PERFORMANCE
Request For Quote 47QCTA24Q0003 PAGE 1
Completed Past Performance Questionnaires are to be submitted via email to:
Theodore Williamson (Theodore.williamson@gsa.gov)
Subject Line: Solicitation Number: 47QCTA-23-Q-0002
PAST PERFORMANCE QUESTIONNAIRE
1. Contractor Name:
2. Contract Number:
Prime/Subcontractor
3. Contractor Address:
4. Contract Type:
Firm Fixed Price
T&M/LH
Cost Reimbursement Other (Please Specify)
5. Agency/Company Name:
6. Agency/Company POC/Phone/Email
Phone:
Email:
7. Period of Performance:
8. Dollar Amount of Award:
Annual Amount:
Total Dollar Value with Mods:
9. Title of Contract:
10. Description of Contract Service/Scope of Contract:
11. Complexity of Work: Difficult: Routine:
Request For Quote 47QCTA24Q0003 PAGE 2
NOTE: Please use adjectival ratings from attached sheet.
12. Evaluation Factor 13. Comments (Attach additional sheets, if necessary.) 14. Rating
a. Quality of Work
COMMENTS ARE HIGHLY ENCOURAGED/
MANDATORY FOR RATING OF EXCEPTIONAL
& UNSATSIFACTORY
b. Personnel COMMENTS ARE HIGHLY ENCOURAGED/
MANDATORY FOR RATING OF
EXCEPTIONAL& UNSATIFACTORY
c. Cost/Budget Control COMMENTS ARE HIGHLY ENCOURAGED/
& UNSATIFACTORY
Request For Quote 47QCTA24Q0003 PAGE 3
d. Customer Satisfaction COMMENTS ARE HIGHLY ENCOURAGED/ MANDATORY FOR RATING OF “5” or “0”
e. Timeliness of Performance/Deliverables
COMMENTS ARE HIGHLY ENCOURAGED/
MANDATORY RATING OF EXCEPTIONAL &
UNSATIFACTORY
f. Business Relations COMMENTS ARE HIGHLY ENCOURAGED/
& UNSATIFACTORY
Request For Quote 47QCTA24Q0003 PAGE 4
g. Overall Performance COMMENTS ARE MANDATORY FOR
OVERALL RATING OF EXCEPTIONAL &
UNSATIFACTORY
15. Would you select this contractor again? Please explain. (Attach additional sheet if necessary.)
16. Name & Date: 17. Title:
Request For Quote 47QCTA24Q0003 PAGE 5
PAST PERFORMANCE RATING GUIDELINES
Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.
Ratings
Quality of Work/ Personnel /Services
-Compliance with contract requirement.
-Accuracy of reports.
-Appropriateness of personnel.
-Technical excellence.
Cost/ Budget Control
-Within budget
-Current, accurate, complete billings.
-Relationship of negotiated cost to actual.
-Cost efficiencies.
-Change orders issued.
Customer Satisfaction
Customer Satisfaction is a measure of how products and services supplied by a company meet or surpass customer expectations.
On a scale of 1-5 (5 being the highest) highest) please rate and describe your level of satisfaction with the contractor’s performance.
5 - Very satisfied.
4 - Somewhat satisfied.
Timeliness of Services/ Deliverables
-Met interim milestones.
-Reliable.
-Responsive to technical direction.
-Completed on time.
Business Relations
-Effective Management.
-Business like correspondence.
-Responsive to contract requirements.
Unsatisfactory Non-conformances comprise the achievement of contract requirements.
Cost issues comprise performance.
Delays are compromising achievement of contract requirements.
Response is not effective.
Request For Quote 47QCTA24Q0003 PAGE 6
Marginal Non-conformances require major agency resources to ensure achievement of contract requirements.
Cost issues require major agency resources to ensure achievement of contract requirements.
Delays require major agency resources to ensure achievement of contract requirements.
Response is marginally effective.
Satisfactory Non-conformances do not impact achievement of contract requirements.
Cost issues do not impact achievement of contract requirements.
Delays do not impact achievement of contract requirements.
Response is usually effective.
Very Good There are no quality problems/issues, and the contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government.
There are no cost management issues and the Contractor has exceeded the contract requirements, achieving cost savings to the Government.
There are no delays.
Response to inquiries and/or technical, service, -Administrative issues are effective.
Exceptional
The contractor has demonstrated an exceptional performance level that was significantly in excess of anticipated achievements and is commendable as an example for others.
It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".
The contractor demonstrated an exceptional performance.
It is expected that this rating will be used in those rare circumstances where the contractor achieved cost savings and performance clearly exceeds the performance levels described as "Exceptional".
The contractor demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".
The contractor has demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".
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