Attachment A-Past Performance Survey.docx
DOCX document 28 KB Posted
- Attached to
- DOS-OVERSEAS SYSTEMS FURNITURE
- Solicitation number
- 19AQMM24Q0123
About this file
This document is an Attachment A - Past Performance Survey for a federal contract opportunity related to Furniture Installation Services Contract 19AQMM24Q00123.
The key details are:
- The contract is for furniture installation services for the U.S. Department of State, Bureau of Overseas Buildings Operations (OBO).
- The contractor will be asked to provide a past performance evaluation by the evaluator, including ratings on criteria such as conformance to specifications, adherence to schedule, business conduct, and compliance with contract terms.
- The evaluation includes a scale from 0-10 for each criteria, with 10 being "Exceptional" and 0 being "Unacceptable".
- The contract has a total estimated value of $100M, with a one-year base period and four one-year option periods.
- The contract will be awarded as a Blanket Purchase Agreement (BPA) against a GSA schedule.
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Text version
Attachment A
PAST PERFORMANCE SURVEY
Furniture Installation Services
19AQMM24Q00123
CONTRACT INFORMATION
Please provide the following information to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary. When references have completed this survey please send back to Charlotte Cameron CameronCR@state.gov.
a. Contractor: ____________________________________________
b. Contract Number: _______________________________________
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.
l. 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 |
Comments: ____________________________________________________________
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 |
Comments:______________________________________________________________
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 |
Comments:______________________________________________________________
ll. 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 |
Comments: ________________________________________________________________
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 |
Comments: ________________________________________________________________ 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.
| · 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________ 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 |
Comments: ___________________________________________________________ 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 |
Comments: __________________________________________________________
IV. COMPLIANCE WITHT THE TERM AND CONDITIONS OF THE CONTRACT
4a. Quality, completeness, and accuracy of the 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 |
Comments: ____________________________________________________________ 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 |
Comments: ____________________________________________________________ 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 |
Comments: ____________________________________________________________ image4.jpg image1.jpg image2.jpg image3.jpg
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