36C10E18Q0142-002.docx

PAST PERFORMANCE QUESTIONNAIRE

Contractor’s Name:

Contract Number & Total Contract Value_____________________________________________

Contract Title___________________________________________________________________

Contract Total Period of Performance_________________________________________________

Was Contractor Prime or Sub for this contract?___________________________________

Name of Person Completing the Evaluation:

Title: Agency/Company:

Telephone: E-mail:

Please rate the contractor in each of the following areas. Note: there is room for comments that will be helpful to our evaluation.

· Not Applicable: N/A

· 1: Performance clearly below the contract performance standard or requirement

What was the quality of the Contractors performance in executing the scope of the contract? Were key personnel qualified, professional, & reliable? Was the Contractor flexible in responding to emerging issues and implementing required solutions? Please provide comments below:

Was Contractors delivery performance on time with the contract schedule? Were they consistent in meeting the schedule & milestones? Was Contractor responsive to technical direction? Was Contractor timely to Government/customer inquiries? Please provide comments below:

Was the Contractor timely in submitting invoices? Did the Contractor submit accurate invoices in accordance with the price schedule of the contract?

Please provide comments below:

Was Contractor businesslike in all correspondence? Was Contractor responsive to contract requirements?

Did Contractor have proactive approach? Did the Contractor solve/handle problems in a quick & professional manner? Was Contractor prompt in notifying the Agency/customer of any problems.

Please provide comments below:

Were there any regulatory issues with the Contractors performance? Please provide comments below:

6. Please provide a description of the services/products provided by the Contractor for this contract.

7. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem to this contractor in the past 3 years?

|_| Yes |_| No If Yes, please explain.

8. Have you terminated this contractor for cause/default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.

9. Have you filed past performance information in the CPARS database that the contracting officer may search?|_| Yes |_| No Please explain.

10. Based on the contractor’s overall performance, would you award them another contract?

|_| Yes |_| No If No, please explain.