Attachment_E1_-_Past_Performance_Questionnaire.pdf

Attachment E1: Past Performance Evaluation Form- Section 1 Offerors shall complete this page prior to submitting it to the selected Evaluator. Offeror shall provide the following information for each con-tract/task order submitted for Past Performance evaluation factor.

Offeror Name _________________________________ Evaluation Project # ____

Name of Project ________________________________________________________ Contract/Task Order Number ___________________________________________________ Type of Contract (i.e. Firm-Fixed Price, IDIQ, etc.) ___________________________________ Place of Performance ___________________________________________________________

Approximate Individual Building Square Footage for Each Building ______________________ Multiple Buildings: YES ______ NO ______ How Many Buildings? ______________ Approximate Combined Square Footage (if Multiple Buildings) ____________________________

Total Contract/Task Order Value ___________________

Award Date _____________________________ Period of Performance ______________________________________ Was work performed as Prime Contractor ___________

How does this contract/task order the meet similar complexity definition?

How does this contract/task order meet the similar in scope definition?

Attachment E1: Past Performance Evaluation Form - Section 2 Evaluators shall complete survey and submit directly to Tiffany Campbell, GSA Contracting

Specialist, at tiffany.campbell@gsa.gov.

Contractor’s Name: ________________________________________________________________ Evaluator Name and Title:

Evaluator Phone Number: __________________________________________________________________ Evaluator Email Address: ___________________________________________________________________ Do you concur with the information provided by the Offeror on Attachment 01, Past Performance Project, with regards to this evaluation? YES _____ NO _____ If no, please clarify discrepancy:

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 10 that most accurately describes the Contractor’s performance.

9-10 7-8 4-6 2-3 0-1 Excellent Very Good Satisfactory Marginal Poor

1. QUALITY

Contractor implemented effective quality control procedures to meet con-tract/task order requirements. 9-10 7-8 4-6 2-3 0-1

Would you please explain why you gave them that rating?

2. TIMELINESS

Contractor performed Operations and Maintenance Services in a timely man-ner. 9-10 7-8 4-6 2-3 0-1

Would you please explain why you gave them that rating?

3. Problem Resolution Contractor was able to resolve problems effectively. 9-10 7-8 4-6 2-3 0-1 Would you please explain why you gave them that rating?

4. OVERALL CUSTOMER SATISFACTION

Contractor’s overall performance was satisfactory? 9-10 7-8 4-6 2-3 0-1

Would you please explain why you gave them that rating?

Would you contract with this company again? YES _____ NO _____ Why or why not? _______________________________________________________________________________