Copy of Copy of Copy of Attachment H - Past Performance Questionnaire.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- ISN/CTR GLOBAL PROGRAM
- Solicitation number
- 19AQMM25R0016
About this file
This is a Past Performance Questionnaire template designed for the Department of State's Passport Book Personalization Facilities program. The questionnaire requests detailed evaluations across seven key areas: Technical Services, Quality of Services, Timeliness of Performance, Price/Cost Control, Business Relations, Customer Satisfaction, and Overall Contract Performance.
The evaluation form requires reference information including contractor name, customer agency details, technical point of contact, contract numbers, and contract values. Performance ratings use a four-tier scale: Excellent, Satisfactory, Marginal, and Unacceptable. Key technical service areas being evaluated include IT testing, support and integration services, security clearance facility operations, team partner management, and program management capabilities. The questionnaire particularly emphasizes assessment of contractor performance in areas such as personnel retention, cost control, business relationships, problem resolution, and overall contract execution effectiveness.
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Other files
| File | Type | Posted |
|---|---|---|
| QUESTIONS AND ANSWERS.pdf | ||
| A003.pdf | ||
| A0002.pdf | ||
| Attachment B- Past Performance 2.docx | DOCX document | |
| 19AQMM25R0016 Past Performance Questionnaire Revised.xlsx | XLSX spreadsheet | |
| 19AQMM25R0016 MOD A001 - signed.pdf | ||
| ATTACHMENT B (Approved BIDDER DD254 19AQMM-25-R-0016).pdf | ||
| ATTACHMENT A (STATEMENT OF WORK).pdf | ||
| 19AQMM25R0016 RFP.pdf |
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Text version
Customer Satisfaction Survey
| PAST PERFORMANCE CUSTOMER SATISFACTION SURVEY | |
| Introduction: The United States Department of State (DOS) is currently conducting a competitive procurement for its Passport Book Personalization Facilities program, for which the prospective offeror [insert name of company] has been requested to identify Government agencies with whom it is currently or has been recently under contract, to serve as potential references on its past performance record. You are being asked to complete the attached Contractor Past Performance Survey. You may also be contacted by a DOS procurement official to arrange a telephone interview, using the survey as the focal point of the interview. To ensure frank and open evaluations and expressions of opinions by evaluators, all parties are advised that the identity of respondents completing the survey will be held in confidence and will not be released or disclosed to the contractor or outside the Government. | |
| Instructions: Please complete all areas of this form indicated in light yellow. | |
| PART I - CONTRACT INFORMATION | |
| a. Contractor: | |
| b. Customer Name (Federal Agency or Other): | |
| c. Technical Point of Contact Information | |
| i. Name: | |
| ii. Telephone Number: | |
| iii. Facsimile Number: | |
| iv. E-mail Address: | |
| v. Mailing Address: | |
| vi. Position Title/Grade: | |
| d. Contract Number: | |
| e. Type of Contract | (Select responses from drop down menu) |
| i. Negotiated or Sealed Bidding: | |
| ii. Competitive or Non-Competitive: | |
| iii. Firm-Fixed-Price, Cost-Plus, Time-and-Materials/Labor Hour, Hybrid, or Other: | |
| iv. Indefinite Quantity, Requirements, or neither: | |
| f. Contract Period of Performance: | |
| h. Initial Contract Value: $ | |
| i. Current (or Completed) Contract Value: $ | |
| j. Brief Description of the Contract Requirement: | |
| PART II - GOVERNMENT PAST PERFORMANCE/CUSTOMER SATISFACTION EVALUATION | |
| EVALUATION CRITERIA | |
| EXCELLENT: Indicates the Contractor's performance within the area of evaluation clearly and consistently exceed contractual requirements. | |
| SATISFACTORY: Indicates the Contractor's performance within the area of evaluation met the contractual requirements. | |
| MARGINAL: Indicates the Contractor's performance within the area of evaluation experienced minor problems for which solutions were satisfactory. | |
| UNACCEPTABLE: Indicates the Contractor's performance within the area of evaluation experienced serious problems. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur. |
| EVALUATION AREA 1: TECHNICAL SERVICES | |
| (Select the rating that applies from drop down menu) | |
| Overall understanding of and ability to provide IT testing services: | |
| Overall undestanding of and ability to provide IT support services: | |
| Overall understanding of and ability to provide IT Integration services: | |
| Overall understanding of and ability to provide logistical and technical support services: | |
| Overall understanding of and ability to maintain and operate minimum of top security clerance required factilies: | |
| Overall ability to integrate and manage team partners to ensure successful mission performance | |
| Overall ability to provide professional employees with applicable professional certifications within the prescribed timelines: | |
| Overall ability to promote an environment with highly rated customer service: | |
| Overall understanding of and ability to maintain quality of program management | |
| Overall ability to coordinate and integrate work to prevent unnecessary duplication of services and minimize disruptions to contract timelines | |
| Overall effectiveness in program, risk, quality, performance management capabilities: | |
| EVALUATION AREA 2: QUALITY OF SERVICES | |
| (Select the rating that applies from drop down menu) | |
| Overall ability to proactively and aggressively perform contract requirements: | |
| Effectiveness of the contractor's training program and performance skills: | |
| Ability to retain qualified personnel on the project: | |
| Timeliness in filling open positions: | |
| Effectiveness and reliability of contractor's key personnel: | |
| EVALUATION AREA 3: TIMELINESS OF PERFORMANCE | |
| (Select the rating that applies from drop down menu) | |
| Overall performance in planning, scheduling, and monitoring: | |
| Completion of major milestones on schedule: | |
| Timely completion of efforts within period of performance: | |
| EVALUATION AREA 4: PRICE/COST CONTROL | |
| (Select the rating that applies from drop down menu) | |
| Quality, completeness, and accuracy of price/cost proposals/invoices: | |
| Accuracy and timeliness of cost reports: | |
| Ability to perform within negotiated costs/prices: | |
| Ability to provide innovative solutions that resulted in cost savings: | |
| EVALUATION AREA 5: BUSINESS RELATIONS | |
| (Select the rating that applies from drop down menu) | |
| Ability to effectively manage contract: | |
| Ability to work in collaboration with other contractors towards a common goal: | |
| Ability to choose and manage quality subcontractors: | |
| EVALUATION AREA 6: CUSTOMER SATISFACTION | |
| (Select the rating that applies from drop down menu) | |
| Maintains a single effective point of contact to manage and resolve problems: | |
| Effectiveness in interfacing with personnel in your organization: | |
| Overall ability to resolve performance issues: | |
| EVALUATION AREA 7: OVERALL CONTRACT PERFORMANCE | |
| (Select the rating that applies from drop down menu) | |
| Based on this contractor's overall performance, would you award this contractor another contract? |
| Thank You for completing this past performance evaluation. Please email the completed survey to the following address: |
| U. S. Department of State |
| Office of Acquisition Management |
| ATTN: |
| E-MAIL ADDRESS: |
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