Exhibit N - Past Performance Survey_01.pdf

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Attached to
X1AA- Health Services Research & Development (HSR&D) Admin RLP
Solicitation number
36C25024R0130
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About this file

The document is an Exhibit N Past Performance Survey form used to evaluate a contractor's performance across multiple dimensions. The survey provides a structured rating system with four performance levels: Excellent (E), Good (G), Poor (P), and Neutral (N), which assess various contract performance aspects including delivery schedule, document submission, project management, customer service, and report timeliness. The form includes sections for detailed narrative feedback, allowing the evaluator to document the contractor's strengths, weaknesses, compliance, and overall performance rating.

The survey is designed to comprehensively document a contractor's performance, with spaces to explain environmental compliance, future solicitation considerations, potential termination issues, and any additional performance-related observations. Evaluators can provide nuanced feedback by circling performance ratings for specific contract elements and offering written explanations, which can be critical for future contract award decisions and vendor performance assessments.

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Text version

EXHIBIT

Performance Confidence Assessment

PERFORMANCE

Completed or complied with all aspects of the contract/lease for the following items (Select from the chart above and CIRCLE the appropriate LETTER):

Delivery Schedule: E G P N

Submitted all required documents timely: E G P N

Project Management: E G P N

Customer Service: E G P N

Contractor provided all services in a prompt, courteous and professional manner: E G P N

Contractor provided reports in a timely manner: E G P N

Past Performance

Rating Rating Description

E Excellent Essentially no doubt exists that the offeror will successfully perform the required effort based on its performed record. Lease or Contractual performance required no corrective action.

G Good

Little doubt exists that the offeror will successfully perform the required effort based on its performance record. Lease or Contractual performance encountered only infrequent, minor problems for which corrective actions taken by the Contractor were highly effective.

P Poor

It is extremely doubtful that the offeror will successfully perform the required effort based on its performance record. Lease or Contractual performance encountered serious problems for which the Contractor’s corrective actions were unacceptable.

N Neutral No performance record identifiable.

O

Provide any explanation you may feel is required to clarify any of the above responses:

SCHEDULE

S1. Ability to meet requirements of Required Schedule:

MANAGEMENT

Contractor provided experienced/qualified staff or personnel to meet contract requirements: E G P N

Contractor resolved customer complaints timely. E G P N

Narrative Summary

a. What were the contractor’s greatest strengths in the performance of the

b. What were the contractor’s greatest weaknesses in the performance of the

c. Were there any environmental compliance difficulties experienced during performance of this contract/lease?

d. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

e. Are there any other issues not covered you feel important to note about performance of this contractor/ lease?

Part IV

Government contracts only: Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes ____ Default ____ Convenience _____ Pending Terminations ____ NO ____

If yes, explain (e.g., inability to meet price, performance, or delivery schedules, etc.)

Considering all the information provided above, by selecting one of the rating descriptions, please rate the contractor’s performance overall (Circle One):

File details come from the government source that posted it. Updated .