Attachment 4 - Past Performance Questionnaire.docx
DOCX document 12 KB Posted
- Attached to
- Utility Invoice - Management, Processing, and Payment Services Federal contract opportunity
- Solicitation number
- 47HAA024Q0032
- Issued by
- GSA Office of Administrative Services
About this file
This document contains a past performance questionnaire template and details of a federal contract opportunity for utility invoice management, processing, and payment services. The opportunity is a full and open competition solicited under FAR Parts 12 and 13 by the GSA Office of Administrative Services. Interested vendors must be registered in SAM and have a UEI. The anticipated period of performance is a 12-month base period plus four 12-month options to be awarded as a firm fixed-price purchase order. The response deadline is not provided but award is expected by April 1, 2024. Relevant experience and past performance will be evaluated.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Contract Information:
Contractor: ___________________________________________________________
Contract Number: ______________________________________________________
| Type of Contract: Negotiated ______ Sealed Bid ______ | Fixed price _____ |
| Cost Reimbursement _______ | Other (specify) _______ |
Period of Performance: From ______________ To _________________________
Initial Contract Value: $_____________ Final Contract Value: $___________
Prime Contractor: Yes________ No__________
Brief description of requirement: __________________________________________
The Performance measures are as follows:
· Technical Effectiveness/Timeliness of Performance
· Management Effectiveness
The adjectival rating categories are provided below for your guidance.
| EXCELLENT (E): |
| Contractor demonstrates initiative to enhance/exceed contractual requirements/objectives and overall Contractor-Government relationship is exceptional. |
| GOOD (G): |
| There are no quality-of-service problems and/or non-conformances do not impact achievement of contract goals. |
| FAIR (F): |
| Non-conformances are minor and have little impact on achievement of contract goals; minor Government intervention is needed to resolve issues |
| POOR (P): |
| Non-conformances are impacting achievement of contract goals; substantial Government intervention is needed to resolve issues. |
| UNSATISFACTORY (U): |
| Non-conformances are compromising the achievement of contract goals, despite substantive intervention by Government personnel. |
If a marginal or unacceptable rating is given, please discuss on Page 3. If a question is not applicable, so indicate.
PAST PERFORMANCE QUESTIONNAIRE continued ……. (Page 2)
TECHNICAL EFFECTIVENESS/TIMELINESS OF PERFORMANCE
This area of the questionnaire deals with contract compliance, requirements, to include appropriateness of personnel and technical excellence and the Contractor’s ability to meet milestones and delivery schedules.
LEGEND:
E = Excellent G = Good F = Fair P = Poor U = Unsatisfactory N/A = Not Applicable
FACTORS/RATINGS
E
G
F
P
U
N/A
Adherence to and completion of major tasks, milestones, and deliverables on schedule. Adherence to project start and completion dates.
Flexibility and responsiveness to technical direction (including changes in technical direction).
Ability to identify risk factors and take measures to alleviate risk.
Effective resolution of contractor-caused delays and/or problems.
Ability to identify and solve problems expeditiously, and avoid revisions and/or rework.
Technical excellence, consistency and reliability.
Appropriateness of personnel.
MANAGEMENT EFFECTIVENESS
This area deals with the Contractor’s overall communications with the government, effectiveness and reliability of key personnel, ability to recruit and maintain qualified personnel, ability to manage multiple and diverse projects from planning through execution, accurate estimate and control cost, overall performance in planning, scheduling and monitoring, management initiatives and prompt notification of problems.
FACTORS/RATINGS
E
G
F
P
U
N/A
Overall compliance with contract terms and conditions.
Overall communication with the Government (fact-based).
Effectiveness and reliability of Contractor’s key personnel.
Ability to recruit and maintain qualified personnel.
Ability to manage multiple and diverse projects/tasks from planning through execution.
Ability to accurately estimate and control cost to complete tasks.
Overall performance in planning, scheduling, and monitoring.
Promptly notifies Government of problems.
Ability to resolve performance problems
PAST PERFORMANCE QUESTIONNAIRE continued …..(Page 3)
Information Provided By:
1. Name: _______________________________________
2. Position Title/Grade: _______________________________________
3. Organization: _______________________________________
4. Mailing Address: _______________________________________
5. Telephone/Fax Numbers: _______________________________________
6. Length of Involvement in Contract: _______________________________
7. Questionnaire Completion Date: _________________________________
8. Remarks on outstanding performance: (Continue on separate sheet if necessary)
9. Remarks on unsatisfactory performance: (Continue on separate sheet if necessary)
Note: If verbal telephonic response received, complete the following:
Information obtained by: _________________________________________________________ Printed Name
Signature
SOURCE SELECTION INFORMATION – SEE FAR PART 2.101 and 3.104
File details come from the government source that posted it. Updated .