Past Performance Questionnaire.pdf

Past Performance Questionnaire – Pre-solicitation Draft - High Energy Rail

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a Department of Homeland Security, Customs and Border Protection solicitation. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. Please provide an honest assessment and return the questionnaire to the Contracting Officer.

PART TWO: GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS 2. CUSTOMER ORGANIZATION

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE: $______________________ NAME:

TITLE:

PHONE NO:

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE: 8. COMPLEXITY OF WORK (Circle One)

DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each item below. Each item has a set of elements for rating. Determine the adjectival rating that most nearly represents experience with this offeror and indicate assessment by placing an “X” under the appropriate heading. If an element did not apply to the rated contract, please mark that line “N/A”. Offeror performance factors are:

A. MISSION REQUIREMENTS

B. SCHEDULE PERFORMANCE

C. PROJECT MANAGEMENT

Adjectival ratings are defined below and should be used as a reference in assessing performance:

Exceptional The quotation demonstrates good understanding of requirements and approach that exceeds performance or capability standards.

Satisfactory The quotation demonstrates acceptable understanding of requirements and approach that meets performance or capability standards. required in achieving the proposed level of performance

Marginal The quotation demonstrates shallow understanding of requirements and approach that only marginally meets performance or capability standards necessary for minimal but acceptable contract performance.

Unacceptable The quotation fails to meet the requirement; one or more deficiencies for which correction would require a major revision or redirection of the proposal.

Neutral No past performance evaluated or observed

A MISSION REQUIREMENTS Exceptional Satisfactory Marginal Unsatisfactory Neutral

1 The overall value of supplies or services provided?

2 Vendor conformed (or exceeded) contract requirements

3 Did the contractor provide quality reports and documentation (i.e., accurate, current and complete)?

B SCHEDULE PERFORMANCE Exceptional Satisfactory Marginal Unsatisfactory Neutral

1 Did the contractor adhere to contract delivery schedules in the following areas:

(a) Performance of services?

(b) Delivery of goods?

(c) Delivery of reports or other documentation?

2 Were replacement personnel identified and assigned to the project in a timely manner?

3 Were maintenance or warranty requests fulfilled timely?

C PROJECT MANAGEMENT Exceptional Satisfactory Marginal Unsatisfactory Neutral

1 Did the contractor provide effective contract and project management?

2 Was the contractor able to solve contract performance problems without extensive guidance from counterparts?

3 Did the contractor supply adequate and qualified replacement personnel?

4 How effective has the contractor been in understanding and responding to user requirements?

5 Did the contractor establish and maintain effective quality control standards and procedures?

PART THREE: OFFEROR PERFORMANCE RATING (CONTINUED)

1. Has this contract been partially or completely terminated for default or convenience?

YES Default___ or Convenience ___

NO

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules - also include contract number, name, address, and phone number of Terminating Contracting Officer - TCO).

2. What was the contractor’s greatest strength in the performance of the contract?

3. What was the contractor’s greatest weakness in the performance of the contract?

4. Would you award another contract to this contractor?

YES No

COMMENTS:

PART FOUR: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND COMPLETE TO THE BEST OF MY

KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATOR

Past Performance Questionnaire – Pre-solicitation Draft - High Energy Rail