7. Past Performance Questionnaire.pdf
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- Attached to
- 15BCTS25R00000004 SU/MH in Albany, NY
- Solicitation number
- 15BCTS25R00000004
About this file
This document is a Past Performance Questionnaire designed to evaluate a contractor's performance across five key categories: quality, timeliness, cost control, business relations, and customer satisfaction. The questionnaire provides a structured rating system from 1-5 (with 5 being the best rating) for various aspects of contract performance, including compliance with contract requirements, resource commitment, responsiveness to technical directions, adherence to delivery schedules, problem-solving capabilities, and effectiveness in interfacing with government staff.
The form allows the reference/activity to provide detailed ratings and comments on the contractor's performance, with specific sections for assessing quality of product or service, timeliness of performance, and business relations. It also includes a customer satisfaction section that inquires about contract terminations, pending terminations, and whether the reference would recommend the contractor for additional contracts. The questionnaire is intended to provide a comprehensive and systematic approach to evaluating a contractor's past performance, which can be critical in future contract award decisions.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
I. Reference Identification
A. Name of Reference/Activity
Include point of contact Phone #/Fax #/Address
II. CONTRACT IDENTIFICATION
A. Contractor
B. Contract Number
C. Contract Type
Competitive [ ]Yes [ ] No
Follow-On [ ] Yes [ ] No
D. Period of Performance
E. Estimated Contract Total (Including all option periods)
F. Description of
Supplies Provided:
G. Geographic Distribution of Services Under This
Contract, (i.e., Local, Nationwide, Worldwide)
H. Number of Locations serviced by this
Contract
III. EVALUATION
Below are listed specific questions relating to the following five categories fo contractor performance: quality, timeliness, cost, control, business relations, and customer satisfaction. Please rate the contractor for each question on a scale from 1 to 5, 5 being the best rating and 1 being the worst rating, or N/A for not applicable. There is a comment section provided below each question. Please document any responses receiving a rating of 2 or 1.
[ ] 5 - Considerably surpassed minimum requirements
[ ] 4 - Exceeded minimum requirements
[ ] 3 - Met minimum requirements
[ ] 2 - Less than minimum requirements
[ ] 1 - Efforts had a negative effect
A. QUALITY OF PRODUCT OR SERVICE
1. To what extent did the contractor comply with the specific contract requirements and commit adequate resources in a timely fashion to the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor respond to technical directions, quality improvement recommendations, contract change orders, etc.?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
B. TIMELINESS OF PERFORMANCE
1. To what extent did the contractor adhere to contract delivery of performance schedules?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor meet the response times in the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
C. BUSINESS RELATIONS
1. To what extent was the contractor able to solve contract performance problems without extensive guidance from Government counterparts (COTR)?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent was the contractor effective in interfacing with
Government/Company staff?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
D. CUSTOMER SATISFACTION
1. Has this contract been partially or completely terminated for default or convenience?
[ ] Yes for: [ ] Default [ ] Convenience
[ ] No
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).
2. Are there any pending terminations?
[ ] Yes [ ] No
If yes, please explain and indicate the status.
3. Would you recommend this contractor for the award of additional contracts?
[ ] Yes [ ] No
Comment:
NARRATIVE SUMMARY
Use this section to explain additional information not included above.
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