36C24819R0007-006.pdf

EVALUATION: Please rate the using the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Assessment Definition

Outstanding (O) The performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the were highly effective.

Above Average (A) The performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the were effective.

Satisfactory (S) The performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory.

Unacceptable (U) Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the has yet to identify corrective actions or the proposed actions appear only marginally effective or were not fully implemented.

PAST PERFORMANCE QUESTIONNAIRE

Request for :

Message to the assessor: Your assistance is requested by Shaundrica M. Close, the Contracting Officer to assist with establishing the performance history for the Company named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed past performance questionnaire(s) to:

shaundrica.close@va.gov. If not enough space is provided, please attach additional information to this questionnaire. November 12

1. Name of /Agency:

Contract or Identifying Number:

Title/Description of Contract:

Based upon the definitions below, indicate your assessment of the ’s performance. Your assessment should consider the ’s performance in accordance with the contractual requirements. Please include the period of performance and contract value:

2. Brief description of scope of work:

Completed scheduled services in a timely manner per the Performance Work Statement (PWS).

O A S U

Compliance with contractual Terms and Conditions. O A S U Provided experienced with the technical and administrative abilities needed to meet contract requirements.

O A S U

Demonstrated ability to hire, maintain, and replace, if necessary, during the contract period.

O A S U

Provided effective quality control and/or inspection procedures to meet contract requirements.

O A S U

Corrected deficiencies in a timely manner and pursuant to the quality control procedures.

O A S U

Exhibited knowledge of and compliance with Government (or other) regulations and industry standards.

O A S U

How effective was the in responding to urgent requests in a timely manner per the Performance Work Statement (PWS)?

O A S U

To what extent was the able to solve contract performance problems without extensive guidance from procurement or technical personnel?

O A S U

Provides timely and accurate documents, records, and invoices as required by the contract.

O A S U

Would you award similar contracts to this ? Please provide explanation for response.

O A S U

Rate the OVERALL quality of performance under this contract O A S U

EXPLANATION OF OVERALL RATING GIVEN:

ADDITIONAL COMMENTS (as required)

Name & Signature of Assessor’s:

Company/Agency: Date:

Position Title/Grade: Phone:

Email: Fax: