Attachment_B_Past_Performance_Questionnaire.pdf

Solicitation No.: 47QMCB19R0002

Attachment B Past Performance Questionnaire

Performance Information/Questionnaire Form

PART I - Reference Information (Offeror to complete this part and return with Past Performance information in accordance with instructions provided in the solicitation.)

A. Offeror Information

Contractor’s Name:

Address:

Phone No.:

Point of Contract (POC):

POC Phone:

POC Email:

B. Project Title and Brief Description

C. Contract Data

Contract No.: Delivery/Task Order No.:

Point of Contract (POC) Name & Title:

POC Phone No.: POC Email:

Contract Type:

Contract Dollar Value (base + options):

Contract Performance Period (base + option periods):

Contractor performed as: Prime Sub-Contractor

PART II - Respondent Information (To be completed by Reference Point of Contact)

A. Reference/Respondent Information

Name & Title of Respondent:

Organization:

Phone No.: Email:

Please identify any information known to be inaccurate as provided by the Offeror in Part I.

B. Email completed Performance Information/Questionnaire form to: kimberly.spangler@gsa.gov and cc to onthego@gsa.gov

Past Performance Questionnaire

C. Performance Information:

Using the adjectival rating table below, choose the appropriate letter in response to performance questions on page 3 that most accurately describes the contractor’s performance or situation.

ADJECTIVAL RATING DEFINITION

S Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element may contain some minor problems for which corrective actions taken by the contractor were satisfactory.

U Unsatisfactory

Performance does not meet some or most contractual requirements. The contractual performance of the element or sub-element reflects a serious problem(s) for which the contractor’s corrective actions were either marginally effective or were ineffective.

N Neutral Performance was not observed or not applicable to the current effort being reported against

Past Performance Questionnaire

D. Performance Questions When responding to the questions below check the appropriate column using the definitions matrix above.

Remarks: Please provide additional information for any area rated above.

The Contractor: S U N

1.

Provided experienced project manager with the technical and administrative abilities needed to meet contract requirements.

2.

Demonstrated ability to hire, retain, and replace, if necessary, qualified personnel during the contract period.

3.

Implemented an effective quality control plan to ensure standards for satisfactory customer service was met.

4.

Corrected deficiencies in timely manner and pursuant to their quality control procedures.

5.

Provided timely resolution of contract discrepancies.

6.

Identified problems as they occurred and displayed initiative to resolve.

7.

Was responsive to contract changes.

8.

Cooperated with Government/private client personnel after award.

9.

How would you rate the contractor's overall performance?

10.

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

Yes

No

11.

Would you award another contract to this contractor? If not, explain in “remarks.”

Yes

No