Attachment 10 - PAST_PERFORMANCE_QUESTIONNAIRE.doc
DOC document 110 KB Posted
- Attached to
- AMENDMENT 0002
- Solicitation number
- 2031LL20R00002
About this file
This document contains a past performance questionnaire template to collect feedback on a contractor's performance on a previous government contract. The questionnaire requests information on contract period of performance, value, description, and complexity. It also contains questions in five sections evaluating quality of service, timeliness of performance, price/cost control, business relations, and customer satisfaction. Respondents are asked to provide ratings and comments for each question. The completed questionnaire should be returned to the Treasury Department Office of Inspector General by February 18, 2020 to evaluate a contractor's past performance for a solicitation with number 2031LL20R00002. Offerors are encouraged to read the entire solicitation and submit any questions by February 6, 2020 to receive amendment responses by February 7 providing further details.
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Text version
ATTACHMENT 10
PAST PERFORMANCE QUESTIONNAIRE
The Department of the Treasury, Office of Inspector General (OIG) requests your assistance in providing past performance information on the company listed below for the contract referenced below. Please complete the below questionnaire, scan, and e-mail to robinsonp@oig.treas.gov by 4:00 pm EST on Tuesday, 18 February 2020:
| CONTRACT NUMBER |
| COMPANY BEING RATED |
INSTRUCTIONS:
For each item, circle the rating that best describes the contractor's work on the contract, or if you do not know how the contractor performed (or is performing on a particular item), please circle (Not Applicable (N/A) on that item. The rating scale is defined below.
Not Applicable (N/A): Does not apply or you do not know.
| 1 |
| Unsatisfactory |
| Achievement of contract requirement is compromised |
| 2 |
| Poor |
| Requires major agency resources to ensure achievement of contract requirements. |
| 3 |
| Fair |
| Requires minor agency resources to ensure achievement of contract requirements. |
| 4 |
| Good |
| Does not impact achievement of contract requirements |
| 5 |
| Excellent |
| No problems, issues, or delays in achieving contract requirements |
| 6 |
| Outstanding |
| Cases where contractor performance exceeds Excellent |
Please provide a narrative for each rating given. It will greatly assist in evaluating the Offeror’s Past Performance.
CONTRACT INFORMATION Type of contract (Check all that apply)
Negotiated Sealed Bidding Competitive
Non-Competitive Firm-Fixed-Price Requirements
Cost-Plus-Fixed-Fee Time-and-Material Indefinite Quantity
Labor Hour Other
Complete the following:
Period of Performance: _ to
Initial Contract Value: $
Current (or Completed) Contract Value: $ Brief Description of Requirement:
Complexity of Effort: [ ] Difficult [ ] Routine
1.
QUALITY OF SERVICE:
(a) Overall ability to pro-actively and aggressively perform contract requirements(s).
6 Comment:
(b) Effectiveness, reliability, and technical proficiency of contractor's key personnel.
6 Comment:
(c) Ability to recruit and maintain qualified personnel.
6 Comment:
(d) Ability to satisfy security requirements (clearances for personnel, information protection, facilities, etc.).
6 Comment:
(e) Ability to effectively implement "start-up" contract performance.
6 Comment:
(f) Ability to appropriately manage IT systems and data in a classified environment
6 Comment:
2.
TIMELINESS OF PERFORMANCE
(a) Overall performance in planning, scheduling, and monitoring the work effort.
6 Comment:
(b) Completion of major milestones on schedule:
6 Comment:
(c) Responsiveness and flexibility in responding to changes (both formal and informal).
6 Comment:
(d) Responsiveness/capability to respond to surge/short term requirements.
6 Comment:
(e) Timely completion of efforts within period of performance.
6 Comment:
3.
PRICE/COST CONTROL:
(a) Quality, completeness, and accuracy of price/cost proposals.
6 Comment:
(b) Accuracy and timeliness of cost reports.
6 Comment:
(c) Ability to perform within negotiated cost/price.
6 Comment:
(d) Accuracy and completeness of vouchers/invoices.
6 Comment:
(e) Incurrence of costs is in accordance with contract terms.
6 Comment:
4.
BUSINESS RELATIONS:
(a) Ability to effectively manage contract.
6 Comment:
(b) Ability to choose subcontracts (if applicable to this contract being reported on).
6 Comment:
(c) Ability to manage subcontracts (if applicable to this contract being reported on).
6 Comment:
(d) Provides prompt notification of problems.
6 Comment:
(e) Organizational support structure provides adequate span of control and supervision.
6 Comment:
(f) Has the contractor been given letters of concern(s), cure notice(s), show cause notices(s), suspension of progress payments, or letters of direction, etc.?
6 Comment:
5.
CUSTOMER SATISFACTION:
(a) Maintains a single effective point of contact to manage and resolve problems.
6 Comment:
(b) Effectively assesses impacts of potential changes on other associated projects, tasks, and efforts.
6 Comment:
(c) Effectiveness in interfacing with Government personnel.
6 Comment:
(d) Ability to solve contract performance problems without extensive guidance from
Government personnel.
6 Comment:
(e) Displays initiative in meeting Government requirements and is responsive to the
Government's needs.
6 Comment:
(f) Rate the contractor's overall technical performance on this contract.
6 Comment:
6.
Has this contractor exhibited an outstanding ability to adhere to all contractual terms and conditions?
6 Comment:
7.
To your knowledge, does this contractor follow all instructions issued by the contracting officer?
6 Comment:
8.
To your knowledge, has this contractor been part of an unauthorized commitment
(ratification action)?
6 Comment:
9.
Based on this contractor's overall performance, would you award this contractor another
Government contract?
[ ] YES
[ ] NO
If no, please explain:
10.
Please provide any additional comments concerning the past performance of the contractor.
11.
This questionnaire was completed by:
(Print Name) (Title) (Organization) (Commercial Telephone Numbers) (Date of Completion)
File details come from the government source that posted it. Updated .