Past Performance Questionnaire 5TP57110010.docx
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GSA Federal Acquisition Service
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Solicitation No. 5TP57110010 Page 1 of 3 Contract GS05T11BM0006
PAST/PRESENT PERFORMANCE QUESTIONNAIRE
General Service Administration is conducting an acquisition in accordance with FAR Part 12. Your assistance is requested to provide the following information in an effort to evaluate the offeror’s present and past performance. Forward this completed questionnaire via e-mail Cassandra Hannah-Boyd, Contracting Officer at Cassandra.hannahboyd@gsa.gov. If you experience any problems, please contact me at 312 / 886-7499. Please provide your completed response by March 23, 2011. Please contact Cassandra Hannah-Boyd if you are unable to meet this deadline. Your assistance is greatly appreciated
Rating Organization Name:
Contracting POC:
Address:
Telephone Number:
E-mail Address:
Technical POC:
Address:
Telephone Number:
E-mail Address:
Contractor Name:
Contract Number:
Title of Requirement:
A. General Information:
Dollar Value:
Period of Performance:
Detailed Description of Work Performed:
B. Performance Information:
| Rating |
| General Description |
| Excellent – (5) |
| For the Past Performance/Past Experience factor, the offeror demonstrates highly relevant experience, has consistently received superior ratings, and the Government has not identified any significant negative information. For the Technical Approach and Management and Staffing factors, the proposal clearly meets and consistently exceeds the Government’s requirements in all areas, while presenting very low risks. |
| Good – (4) |
| For the Past Performance/Past Experience factor, the offeror demonstrates highly relevant experience, has received many superior ratings, and the Government has identified little negative information. For the Technical Approach and Management and Staffing factors, the proposal meets the Government’s requirements in all areas and exceeds requirements in many areas, while presenting low risks. |
| Acceptable – (3) |
| For the Past Performance/Past Experience factor, the offeror has received some superior ratings, and the Government has identified little negative information. For the Technical Approach and Management and Staffing factors, the proposal meets the Government’s requirements in all areas and exceeds requirements in some areas, while presenting only moderate risks. |
| Marginal – (2) |
| For the Past Performance/Past Experience factor, the offeror has received few superior ratings, or the Government has identified some negative information. For the Technical Approach and Management and Staffing factors, the proposal barely meets and rarely exceeds the Government’s requirements, and presents high but not unacceptable risks. |
| Not Acceptable – (1) |
| For the Past Performance/Past Experience factor, the offeror has delivered unacceptable performance in a significant number of instances, or has a significant number of not acceptable ratings. For the Technical Approach and Management and Staffing factors, the proposal fails to meet the Government’s requirements, and/or presents unacceptable risks. Offerors receiving Not Acceptable ratings for any factor will not be eligible for award. |
Ratings of higher or lower than satisfactory should include a narrative justification.
1. Was the contractor able to provide personnel with the requisite experience and education necessary to perform the requirement of the contract?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
2. How effective was the contractor in aligning and re-aligning resources to meet varying workloads?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
3. How effective was the contractor in resolving trouble issues or problems?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
4. Was the Contractor able to provide the services required in a professional manner?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
5. Was the contractor able to provide the services required within the time frames and costs identified in the contract?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
6. Did the contractor provide clear, complete, accurate, and timely reports, deliverables, and other written correspondence?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
7. Were there any major discrepancies? If so, enumerate and explain the outcome/corrective action in your comments.
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
8. Were you satisfied with the contractor's overall job performance?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
9. If you had a choice, would you do business with this contractor again?
Bold and Underline One: 5 4 3 2 1
Comments:_____________________________________________________________________________________________________________________________________________________________________________
10. Any additional comments deemed relevant to evaluation:
Evaluator's Name and Title: _____________________________________ E-mail Address: _______________________________________________ Telephone:____________________________________________________
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