Attachment-J1 PAST PERFORMANCE SURVEY-.docx

Attachment J1

PAST PERFORMANCE SURVEY

U.S. Representational Chinaware

19AQMM20R0056

CONTRACT INFORMATION

Please provide the following information to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary.

a. Contractor: ____________________________________________________

b. Contract Number: ____________________________________________________ (if applicable)

Name of Evaluator: __________________________________

Telephone Number: __________________________________

Facsimile Number: __________________________________

Organization/Office Symbol: ________________________________________

Mailing Address: __________________________________

Position/Title/Grade: ________________________________________

Length of involvement with contract: ________________________________________

Degree or extent of involvement with contract: _________________________________

Period of Performance: ____________________ to ___________________________

Initial Contract Value: $__________________________

Current or Completed Contract Value: $_________________________

Brief Description of Requirement:

Complexity of effort ( ) Difficult ( ) Routine

Thank you in advance for completing this survey. THIS INFORMATION WILL BE PROTECTED IN ACCORDANCE WITH FAR 15.1004 (e).

SCORING CRITERIA

EXCEPTIONAL - Indicates the Contractor's performance within the area of evaluation clearly and consistently exceeds contractual requirements.

ACCEPTABLE - Indicates no problem in area of evaluation or has only minor problems for which solutions were satisfactory.

UNACCEPTABLE - Indicates serious problems in the evaluation area. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.

I. CONFORMANCE TO SPECIFICATIONS AND STANDARDS OF GOOD WORKMANSHIP

1a. Overall ability to pro-actively and aggressively perform contract requirements.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

1b. Effectiveness and reliability of contractor's Key Personnel.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

1c. Ability to effectively implement "start up" contract performance.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

II. ADHERANCE TO CONTRACT SCHEDULE

2a. Overall performance in planning, scheduling, and monitoring.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

2b. Completion of major milestones on schedule.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

2c. Timely completion within period of performance.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

III. GENERAL BUSINESS CONDUCT AND BUSINESS LIKE CONCERN FOR THE CUSTOMER

3a Responsiveness and flexibility in responding to changes.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

3b. Responsiveness/capability to respond to surge/short term requirements.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

3c. Accuracy and completeness of vouchers/invoices.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

IV. COMPLIANCE WITH THE TERMS AND CONDITIONS OF THE CONTRACT

4a. Quality, completeness, and accuracy of price proposals.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

4b. Accuracy and timeliness of required reports.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

4c. Ability to perform within negotiated prices.

Please circle the appropriate rating below or check if N/A.

0 1 2 3 4 5 6 7 8 9 10 Unacceptable Acceptable Exceptional

19AQMM20R0056

19AQMM20R0056