Sam_Nunn_(Blank)_Past_Performance_Questionnaire-AR.pdf

ATTACHMENT

Past Performance Rating – Solicitation 47PE0218R0008 Project Name: Atlanta AFC (Sam Nunn (GA1007ZZ)) Combined Services (O&M and Janitorial Services)

PAST PERFORMANCE QUESTIONNAIRE

1. Contractor Name: Role on Project:

(Prime/Subcontractor):

2. Contract Number:

3. Contractor Address:

4. Contract Type:

X Firm Fixed Price

_ T&M/LH

_ Cost Reimbursement _ Other (Please Specify)

5. Agency/Company Name:

6. Agency/Company POC/Phone/Email

7. Period of Performance:

8. Dollar Amount of Award: $

Annual Amount: $

Total Dollar Value with Mods: $

9. Title of Contract:

10. Description of Contract Service/Scope of Contract:

11. Complexity of Work: Difficult: _ Routine: X

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor 13. Comments (Attach additional sheets, if necessary.) 14. Rating

a. Quality of Work

b. Personnel

c. Cost/Budget Control

d. Customer Satisfaction

e. Timeliness of Performance/Deliverables

f. Business Relations

g. Overall Performance

15. Would you select this contractor again? Please explain. (Attach additional sheet if necessary.) Yes/ No

16. Name & Date: 17. Title:

PAST PERFORMANCE RATING GUIDELINES

Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.

Ratings Quality of Work/ Personnel/Servi ce

Complianc e w/contract requireme nts -Accuracy of reports -Appropriateness of personnel Technic al excelle nce

Cost/Bud get Control

-Within budget Curre nt, accura te, compl ete billing s Relationsh ip of negotiat ed costs to actual

Custome r Satisfacti on

Customer Satisfaction is a measure of how products and services supplied by a company meet or surpass customer expectation.

On a scale of 1-5 (5 being the

Timeliness of Services/Deli ver ables

-Met interim mileston es -Reliable -Responsive to technical direction -Completed on time

Business Relation s

-Effective Mgmt Busin ess like corres ponde nce Respo nsive to contrac t reqmnt s Pro mpt noti fica tion of pro ble ms Re aso nab le/ coo per ativ e -Flexible -Pro-active

-Cost efficienc ies -Change orders issued highest) please rate and describe your level of satisfaction with the contractor’s performance.

5 - Very satisfied

4 - Somewhat satisfied

3 - Neither satisfied nor dissatisfie d

2 - Somewhat dissatisfie d

0 - Very dissatisfi ed

Unsatisfactor y

Nonconformanc es are comprising the achievement of contract reqmnts

Cost issues are comprising performanc e

Delays are compromisin g achievement of contract reqmts

Respons e is not effective

Marginal Nonconformance s require major agency resources to ensure achievement of contract reqmnts

Cost issues require major agency resources to ensure achieveme nt of contract reqmnts

Delays require major agency resources to ensure achievement of contract reqmnts

Respons e is marginall y effective

Satisfactory Nonconformanc es do not impact achievement of contract reqmnts

Cost issues do not impact achieveme nt of contract reqmnts

Delays do not impact achievement of contract reqmnts

Respons e is usually effective

Very Good There are no quality problems/issues, and the contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government

There are no cost manageme nt issues and the Contractor has exceeded the contract requirement s, achieving cost savings to the Governmen t.

There are no delays

Respon se to inquiries and/or technica l, service, administ rative issues are effective

The contractor has The contractor

The contractor The contractor

Exceptional demonstrated an exceptional performance level that was significantly in excess of anticipated achievements and is commendable as an example for others. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".

has demonstrat ed an exceptional performanc

e. It is expected that this rating will be used in those rare circumstanc es where the contractor achieved cost savings and performanc e clearly exceeds the performanc e levels described as "Exceptiona l".

has demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".

contractor has demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".