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PAST PERFORMANCE QUESTIONNAIRE
1. Contractor Name:
Role on Project: (Prime/Subcontractor):
2. Contract Number:
| 3. Contractor Address: |
| 4. Contract Type: |
| 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 (Base plus all options exercised): | |
| 8. Dollar Amount of Award: $ | Annual Amount: $ |
Total Value with Mods: $
9. Title of Contract:
10. Description of Contract Service/Scope of Contract:
11. Complexity of Work: Difficult: Routine:
| 12. Evaluation Factor |
| 13. Comments |
Please provide details in this section for ratings of Marginal, Unsatisfactory and Exceptional. Comments for all ratings are highly encouraged and will greatly assist with the past performance evaluation.
(Attach additional sheets, if necessary.)
14.
Rating Adjectival ratings are defined on the attached sheet.
a. Quality of Work
b. Personnel
Attachment #, Past Performance Questionnaire Solicitation Number: 47QFHA23K0018 Project Title: DEAMS Financial Management Functional Support
c. Cost/Budget Control (Other than FFP or FFP with reimbursable line items)
d. Customer Satisfaction
e. Timeliness of Performance/Deliverables
f. Business Relations
g. OVERALL
15. Did the contractor effectively transition personnel and operations when taking over from the incumbent contractor? How long did it take? Please explain.
16. Has the contractor effectively maintained a qualified and capable workforce throughout contract performance? Please explain.
17. From your assessment, has the contractor management been able to effectively lead their on-site personnel? (i.e., consider communication of processes and policies, motivated workforce, resolving personnel issues, etc.)
18. Would you select this firm again? Please explain.
| 19. Evaluator’s Name & Date: |
| 20. 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/Service |
| Cost/Budget Control |
| Customer Satisfaction |
| Timeliness of Services/Deliver |
ables Business Relations
Consider:
-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence Consider:
-Within budget -Current, accurate, complete billings -Relationship of negotiated costs to actual -Cost efficiencies -Change orders issued
Customer Satisfaction is a measure of how products and services supplied by a company meet or surpass customer expectation.
Consider:
-Met interim milestones -Reliable -Responsive to technical direction -Completed on time Consider:
-Effective Mgmt.
-Business like correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable/ cooperative -Flexible -Pro-active
| Unsatisfactory |
| Non-conformances |
| Cost issues are |
| Very Dissatisfied. |
| Delays are |
| Response is not |
| are comprising the |
| comprising |
| Did not meet |
| compromising |
| effective. |
| achievement of |
| performance |
| most |
| achievement of |
contract requirements
requirements
| Marginal |
| Non-conformances require major agency resources to ensure achievement of contract requirements |
| Cost issues require major agency resources to ensure achievement of |
contract requirements Somewhat Dissatisfied.
Did not meet some expectations.
| Delays require major agency resources to ensure achievement of contract requirements |
| Response is marginally effective |
| Satisfactory |
| Non-conformances |
| Cost issues |
| Satisfied. Met |
| Delays do not |
| Response is |
| do not impact |
| do not impact |
| expectations. |
| impact |
| usually effective |
| achievement of |
| achievement of |
achievement of
| contract requirements |
| contract |
contract requirements requirements
| Very Good |
| There are no quality |
| There are no |
| Very Satisfied. |
| There are no |
| Response to |
| problems/issues, and |
| cost |
| Met and exceeded |
| delays |
| inquiries and/or |
| the contractor has |
| management |
| some |
technical, service,
| substantially |
| issues and the |
| expectations. |
administrative
| exceeded the contract |
| Contractor has |
issues are
effective.
| requirements without |
| contract |
| commensurate |
| requirements, |
| additional costs to the Government. |
| achieving cost savings to the Government. |
| The contractor has |
| The contractor |
| Extremely |
| The contractor |
| The contractor |
| demonstrated an |
| has |
| satisfied. Met and |
| has demonstrated |
| has demonstrated |
| Exceptional |
| exceptional |
| demonstrated |
| exceeded most |
| an exceptional |
| an exceptional |
| performance level |
| an exceptional |
| expectations. |
| performance |
| performance |
| that was significantly |
| performance. |
| level. It is |
| level. It is |
| in excess of |
| It is expected |
| expected that this |
| expected that this |
| anticipated |
| that this rating |
| rating will be |
| rating will be |
| achievements and is |
| will be used in |
| used in those rare |
| used in those rare |
| commendable as an |
| those rare |
| circumstances |
| circumstances |
| example for others. It |
| circumstances |
| where contractor |
| where contractor |
| is expected that this |
| where the |
| rating will be used in |
| contractor |
| clearly exceeds |
| clearly exceeds |
| the performance |
| the performance |
| circumstances where |
| savings and |
| levels described |
| levels described |
| as "Exceptional". |
| as "Exceptional". |
| performance clearly |
| clearly exceeds |
| performance levels |
| performance |
| "Exceptional". |
| described as |
"Exceptional".
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GSA Federal Acquisition Service