Past_Performance_Questionnaire.pdf

Performance-based specification Integrated Pest Management Southeast Sunbelt Region Metro Atlanta Area

RELATED COMPANY EXPERIENCE

1. Contract Information

A. Company Name Address:

City/State Phone:

B. Facility Name:

Location

C. Point of Contact:

D. Service provided E. Performance period

F. Contract size:

2. Contract Information

3. Contract Information

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ATTACHMENT “A”

PERFORMANCE EVALUATION

Firm Information:

Name of Firm:

City, State, Zip Code:

Primary Point of Contact:

Telephone Number: ( )

Evaluator’s Information:

Name of Evaluator:

City, State, Zip Code:

Primary Point of Contact:

Telephone Number: ( )

The above firm is submitting a response to a solicitation issued by the U.S. General Services Administration. We appreciate the time and effort you take to complete our questionnaire. The evaluation will be used in our evaluation of past performance and experience. Should you have any questions, please feel free to contact Vincent Butler, Contracting Specialist, on 404-331-3203 or via email at Vincent.d.butler@gsa.gov.

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Past Performance Evaluation

Contract Number:

Total Contract Value: $

Contract Term:

Size of Area Contractor is Responsible For:

Service Provided

1. Was your contract considered to be prescriptive or performance based statement of work?

( ) prescriptive ( ) performance

2. Does the contract require a quality control program? ( ) Yes ( ) No

a. Does the contractor have an adequate quality control plan in place? ( ) Yes ( ) No

b. Does the contractor’s quality control program provide for:

(i) Scheduled inspections? ( ) Yes ( ) No

(ii) Unscheduled inspections? ( ) Yes ( ) No

(iii) Inspections from corporate personnel? ( ) Yes ( ) No

(iv) Inspections from an outside source? ( ) Yes ( ) No

3. Is the contractor’s service delivery performed in a timely manner? ( ) Yes ( ) No

4. Does the contractor use innovative methods to reduce costs? ( ) Yes ( ) No

If yes, provide details of methods used.

5. Did the staff appear to be adequately trained in the performance of their duties?

( ) Yes ( ) No

6. Has the contractor had any labor related issues (e.g., noncompliance to Service Contract Act)?

a. If you responded yes to this question, was the contractor responsible for them?

b. Did the contractor violate any laws relative to the issue? ( ) Yes ( ) No

c. Were any violations related to Labor Laws or Immigration Laws? ( ) Yes ( ) No

d. Has the contractor experienced constant turnover? ( ) Yes ( ) No

7. Were the tenants/customers generally satisfied with the services performed by the contractor?

8. Has the contractor experienced penalties for deficient performance? ( ) Yes ( ) No

9. Did the contract run its full term? ( ) Yes ( ) No

If no, please explain

10. Please provide any other comments:

Thank you for taking the time to provide your evaluation. The U.S. General Services Administration appreciates the time and effort required in preparing a response.

Based on the above information and any other considerations you may have, please provide an overall adjectival rating of “unacceptable,” “satisfactory,” or “excellent.”

I hereby assign a rating of _______________ to the contractor based on my knowledge and experience.

Signature

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