Attachment D - Past Performance.pdf

PAST PERFORMANCE SURVEY

Offeror’s Name: ___________________________________________________________________

Contract Number: __________________________________________________________________

Contract Type and Dollar Value: _______________________________________________________

Brief Description of Work: ____________________________________________________________

“O” =Outstanding = Performance greatly exceeded the contract requirements “A” =Above Average = Performance exceeded the contract requirements “S” = Satisfactory = Performance met the contract requirements “M” = Marginal = Performance met the minimum contract requirements, but some material aspects of the contractor’s performance were less than satisfactory “U” = Unacceptable = Performance was poor and/or did not satisfy contract requirements

Please rate and provide information and detailed comments for the following: CIRCLE ONE

1. To what extent did the contractor comply with contract requirements? O A S M U

2. If reports were required, were they accurate in meeting contract requirements? O A S M U

3. To what extent did the contractor use appropriate personnel for contract requirements? O A S M U

4. To what extent did the contractor display technical expertise? O A S M U

5. To what extent was contractor able to meet the performance schedule? O A S M U

6. To what extent was contractor flexible in responding to changing needs? O A S M U

7. To what extent was the contractor reliable? O A S M U

8. To what extent was the contractor responsive to technical directions? O A S M U

9. To what extent did contractor notify you of problems or potential problems? O A S M U

10. Have any cure notices, show cause letters, suspension of payment, or termination been issued? If yes, please explain.

O A S M U

11. Would you award another contract to the party being evaluated? If no, please explain: O A S M U

12. Was the customer satisfied with the end product? If no, please explain: O A S M U

Additional Comments:

Name of Evaluator: _________________________________________________________

Signature of Evaluator: ______________________________________________________

Title: _____________________________________________________________________

Company: _________________________________________________________________

Telephone No.: _____________________________________________________________

Date: