NEW_PAST_PERFORMANCE_QUESTIONAIRRE.docx

PAST PERFORMANCE QUESTIONNAIRE

Offerror: E-mail questionnaire to the customer points of contact listed on the Past Performance Information Sheet for the contract identified.

Offerror’s Evaluator: E-mail to: Brinson.Brandi@DOL.GOV by 5:00 PM EST 10/28/2018 If extra space is required, provide additional pages and cross-reference additional information to the paragraph number.

Request for Proposal # ___1645BC-19-P-0001_____ Past Performance for _________________________

1. Complete Name of Offeror

2. Offeror’s Address, Telephone Number, and Facsimile Number (with Area Code)

3. Contract Number and Type of Contract

4. Name of the Person completing the Questionnaire

5. Signature: _____________________________________________ Please use the following definitions to for your ratings:

4-Outstanding Performance substantially and consistently exceeded contract requirements. Contractor displayed an overall superior understanding of contract requirements, and used innovative/creative approaches leading to enhanced performance 3-Good Performance exceeded minimum contract requirements. Contractor did not demonstrate innovation/creativity to achieve contract requirements.

2-Satisfactory Performance met minimum contract requirements.

1-Marginal Performance was below minimum contract requirements. Contractor displayed a lack of thorough understanding of contract requirements in one of more significant performance areas.

0-Unsatisfactory The contractor failed to meet the minimum contract requirements. Contractor displayed a total lack of understanding of contract requirements.

NA-Not Applicable DK-Don’t Know No knowledge available to rate this contractor For any rating(s) less than 2, please attach an explanatory narrative. We greatly appreciate your time and assistance in completing this questionnaire.

6. Did the contractor adhere to contract delivery?

Answer: __________

7. Did the contractor use an effective project management system that included planning, budgeting, status tracking, cost reporting, baseline management, critical path analysis, and work breakdown structure?

Answer: __________

8. Was there a positive or negative trend in contract performance (“0” would be a very negative trend, “4” would be a very positive trend).

Answer: __________

9. Was the Performance Work Statement executed effectively by the contractor in a consistently high quality manner?

Answer: __________

10. Was the contractor successful in recruiting and retaining well-qualified key personnel?

Answer: __________

11. Was the contractor effective in subcontract management?

Answer: __________

12. Did the contractor provide an effective and efficient transition from the previous contractor?

Answer: __________

13. Did the contractor develop and implement an effective quality control program?

Answer: __________

14. Did the contractor effectively implement human resources requirements and manage labor relations to minimize work disruptions?

Answer: __________

15. Was the contractor effective in working with organized labor, community groups, media, and other stakeholders?

Answer: __________

16. Was the contractor effective in identifying, evaluating, communicating, and mitigating risks?

Answer: __________

17. Provide an overall assessment of the contractor’s performance.

Answer: __________

18. Has the contractor brought any new initiatives to the customer?

Answer: __________

19. Were the products developed / provided by the contractor well received by the customer, was there good customer buy-in?

Answer: __________

20. Would you again contract with this Company?

Answer: ___________.

PAST PERFORMANCE WORK SHEET

If extra space is required, provide additional pages and cross-reference additional information to the paragraph number.

Request for Quotation # _________________________________________________

Past Performance Information Worksheet for _________________________________

1. Name of Client __________________________________________________________

2. Current Client Address/ Telephone Number ___________________________________

3. Contract Number ________________________________________________________

4. Type of Contract ________________________________________________________

5. Date of Contract Award ___________________________________________________

6. Date Work Commenced __________________________________________________

7. Date Work Ended or Continuing Work _______________________________________

8. Initial Contract Cost/price or Cost and Fee ________________________________________

9. Final Amount Invoiced (for retired contracts) or Amount Invoiced to Date (for active contracts) ______________________________________________________________

10. Technical Point of Contact (include mailing address, e-mail address and telephone number) _______________________________________________________________

11. Contracting Officer Point of Contact (include mailing address, e-mail address, and telephone number) _______________________________________________________

12. Description of Contract Work and Relevancy to RFP ____________________________

13. Description of Problems and Obstacles Encountered ____________________________

14. Current Status of Contract (choose one):

[ ] Work Continuing, On Schedule [ ] Work Continuing, Behind Schedule [ ] Work Completed, Litigation Pending or Underway [ ] Work Completed, No further Action Pending or Underway [ ] Work Completed, Routine Administrative Action Pending or Underway [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)