PAST PERFORMANCE QUESTIONNAIRE REV2020.pdf

PAST PERFORMANCE QUESTIONNAIRE

TO: ___________________________________

PHONE: _________ EMAIL: _________________________

INFORMATION REQUEST

The Maritime Administration (MARAD) is currently in the process of soliciting offers for VESSEL INSPECTION SERVICES and has provided your name and organization as a reference regarding their record of past performance with your organization. Specifically, we are looking for performance information in the following areas:

a.) Quality of Product or Service b.) Timeliness or Scheduling of Service/Deliveries c.) Business Relations/Customer Satisfaction d.) Key Personnel and Staffing (Including Subcontractors)

In order for our team to compile its evaluation, we request that you complete the attached questionnaire and email it, and any other pertinent information, by BEFORE THE CLOSING DATE OF THIS SOLICITATION (May 1, 2020) to Henry Puppe at Henry.Puppe@dot.gov (Contracting Officer)

Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

Thank you, Henry Puppe Contracting Officer mailto:Wilbur.turner@dot.gov

CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

CONTRACT NUMBER: CONTRACTOR NAME:

EVALUATION PERIOD: DELIVERY ORDER NO.:

1. Please describe the service/supply provided by the Contractor for your organization:

2. Please provide UaWingV and commenWV UegaUding Whe ConWUacWoU¶V peUfoUmance in each aUea beloZ XVing Whe following ratings: Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. See next page for definition of ratings. FRU UaWingV Rf ³E[ceSWiRnal´ RU ³UnVaWiVfacWRU\,´ SleaVe SURYide a bUief e[SlanaWiRn.

EXCEPTIONAL VERY GOOD SATISFACTORY MARGINAL UNSATISFACTORY

OVERALL PERFORMANCE

RATING

Please provide an overall rating of Whe ConWUacWoU¶V performance for the referenced contract/delivery order.

a.) Quality of Product or Service:

Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence b.) Timeliness or Scheduling of Supplies/Deliveries: Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.

c.) Business Relations/Customer Satisfaction: Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business subcontracting program and VaWiVfacWion ZiWh ConWUacWoU¶V service.

d.) Key Personnel and Staffing (Including Subcontractors):

Qualified personnel, effective performance and conduct.

e) Cost Control (COST CONTRACTS ONLY): Actual cost / rates reflect closely to negotiated cost / rates, adequate budgetary internal controls, current, accurate and complete billings

3. Would you hire this Contractor to provide supplies/services for your organization in the future? Yes No Please provide comments using additional pages if desired.

Signed: __________________________________

DEFINITION OF RATINGS FOR PAST PERFORMANCE

Exceptional Performance meets/met contractual requirements and exceeds/exceeded many to the cXVWomeU¶V benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance meets/met contractual requirements and exceeds/exceeded some to the CXVWomeU¶V benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance meets/met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory.

Marginal Performance does not/did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet or did not identify corrective actions.

Unsatisfactory

Performance does not/did not meet most contractual requirements and if currently being performed, recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.