2.04 Attachment 1 (Past Performance Questionnaire).pdf

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

REQUIREMENT:

Contractor:

Contract Number:

Contract Name:

Rater Name:

Rater Telephone:

Rater E‐Mail Address:

Rater’s Role in Relation to the Contract (program/project manager, contracting officer, major end user, etc.):

Rating Definition Note

Exceptional

(E)

Performance met contractual requirements and exceeded many to the government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

To justify an “exceptional” rating, identify multiple significant events and state how they were of benefit to the government. A singular benefit, however, could be of such magnitude that it alone merits an “exceptional” rating. In addition, there should have been no significant weaknesses identified.

Very Good

(VG)

Performance met contractual requirements and exceeded some to the government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

To justify a “very good” rating, identify a significant event and state how it was a benefit to the government. There should have been no significant weaknesses identified.

Satisfactory

(S)

Performance met contractual requirements. The contractual performance of the element or sub element contained some minor problems for which corrective actions taken by the contractor appeared to be or were satisfactory.

Marginal

(M)

Performance did not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflected a serious problem for which the contractor did not identify corrective actions.

The contractor’s proposed actions were only marginally effective or were not fully implemented.

To justify a “marginal” performance rating, identify a significant event in each category that the contractor had trouble overcoming and state how it affected the government. A “marginal” rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency

(e.g., management, quality, safety, or environmental deficiency report or letter).

Unsatisfactory

(U)

Performance did not meet most contractual requirements and recovery was not accomplished in a timely manner. The contractual performance of the element or sub element contained a serious problem(s) for which the contractor’s corrective actions were ineffective.

To justify an “unsatisfactory” rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it affected the government. A singular problem, however, could be of such serious magnitude that it alone merits an

“unsatisfactory” rating. An

“unsatisfactory” rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency report or letter

INDEX

Section I – Ratings

Section II – Additional Narrative

Justification

Section III – Signature of Rater

Section IV – Return Instructions

Section V – Contact Information

Please provide any relevant information to support the above ratings.

Section I Contractor Performance Response

1. How would you rate the quality of the contractor’s products/services provided? Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

2. How would you rate the contractor’s ability to control costs? Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

3. How would you rate the contractor’s timeliness of the products/services delivered? Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4. How would you rate the contractor’s ability to meet special needs (such as expedited delivery or crisis support) for delivery requirements?

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

5. How would you rate the contractor’s ability to effectively manage, coordinate, and integrate subcontractors?

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Section II

Additional Supporting Narrative: <Include the number of the question to which this support narrative applies. Additional pages may be used.>

Section III

Signature of rater: _______________________________________ Date:__________________________

Section IV

Please have the questionnaire completed prior to the solicitation close date.

Section V

For any questions pertaining to the questionnaire, please contact: