Past Performance Questionnaire.pdf

Attachment J-64

PAST PERFORMANCE QUESTIONNAIRE

Please have the reference complete and submit directly to the GSA Contracting Office, Sarah Callies, sarah.callies@gsa.gov no later than March 28, 2022, 2:00 PM Mountain Time.

Section 1 – To be completed by the Contractor

Contractor’s Name:

Address:

Telephone Number:

Point of Contact (POC):

Role of the POC:

Project Title or Brief Description of the Work:

Contract Number:

Initial Award Amount:

Total Award Amount – with Mods:

Dates of Performance:

To be Completed by the Reference

Note: Please complete the following questionnaire on behalf of the contractor proposing to complete the work under this Request for Proposal. The following information is requested based on your experiences with the contractor named above. The completed questionnaire should be emailed directly to the Contracting Office to ensure the confidentially of your responses. Your responses will be reviewed solely for the purposes of past performance and no one other than the selection committee will see your response. Thank you, in advance, for your time and providing us with this valuable input.

Section 2 – To be completed by the Reference

NOTE: If the contractor holds or has held other contracts or task orders with your agency/organization in the last five (5) years, please complete separate evaluation forms for those contracts as well.

Name of Respondent:

Title/Company Name:

Role of Respondent on the project Contract:

Address:

Telephone:

Email:

mailto:sarah.callies@gsa.gov

Performance Information: Select the term that most accurately describes the Contractor’s performance in accordance with the following questions. Please provide a narrative explanation for each.

1. Effectiveness of management (For example: Coordination and responsiveness, management of resources/personnel, flexibility, and coordination/control of contractor personnel)

Outstanding

Good

Satisfactory

– Neutral

Marginal

Unsatisfactory

Not

Applicable

Narrative Explanation:

2. Effectiveness in retaining qualified staff.

Applicabl e

3. Effectiveness of communicating with agency regarding employee performance.

4. Ability to provide employees that match the performance criteria of the customer.

5. Ability to complete work within the stated period of performance, i.e., worked progressed in accordance with the progress schedule.

6. Timeliness and professionalism of monthly report submittals.

7. Ability to integrate with the Region's workplace culture.

8. Errors in work/rework or was addressed promptly and professionally.

9. How would you rate this contractor’s overall performance and quality of work?

10. Considering what you know today about the contractor’s ability to execute the work under the contract or task order and what they promised in their proposal, would you award to them again given the choice?

Definitely

Would

Probably

Would

Might or

Might Not

Probably

Would Not

Definitely

Would Not