36C25619Q0109-0002001.pdf

PAST PERFORMANCE QUESTIONARES

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

• 2: Performance occasionally does not meet minimum contract performance standard or requirement

• 3: Performance that meets the minimum contract performance standard or requirement

• 4: Performance that meets and occasionally exceeds the contract performance standard or requirement

• 5: Performance that almost always exceeds the contract performance standard or requirement

1. Overall Quality of Goods/Services Provided N/A 1

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:

2. Satisfaction of Contractor Delivery

Schedule/Timeliness N/A 1 2 3 4 5

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:

3. Satisfaction of Contractors Cost Control N/A 1 2 3 4 5

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:

4. Satisfaction of Management/Business

Relations N/A 1 2 3 4 5

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:

5. Regulatory N/A 1 2 3 4 5

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.