Attachment_4_-_Past_Performance_Questionnaire.pdf

RFQ 70Z02318QPA700700 ATTACHMENT 4

PAST PERFORMANCE QUESTIONNAIRE

1. Contractor Name: 2. Contract Number:

3. Contract Type: ___Firm Fixed Price ___Cost Reimbursement ___ Other (Please Specify)

4. Agency Name:

5. Agency POC:

Phone:

Email:

6. Place of Contract Performance:

7. Period of Performance:

8. Dollar Amount of Award:

Total Dollar Value with Mods:

9. Title of Contract:

10. Description of Contract Service:

11. Complexity of Work: Difficult: ____________ Routine: ____________

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor 13. Comments (Attach additional sheets, if necessary.) 14. Rating

a. Quality of Work

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Cost/Budget Control

15. Would you select this firm again? Please explain. (Attach additional sheet if necessary.)

16. Name & Date: 17. Title:

RFQ 70Z02318QPA700700 ATTACHMENT 4

PAST PERFORMANCE RATING GUIDELINES

Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Poor, Fair, Good, Excellent. Use the following instructions as guidance in making these evaluations. Note:

There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings Quality of Work/

Personnel

-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence

Cost/Budget Control

-Within budget -Current, accurate, complete billings -Relationship of negotiated costs to actual -Cost efficiencies -Change orders issued

Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time

Business Relations/Sub Contractor Mgmt

-Effective Mgmt -Businesslike correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable/ cooperative -Flexible -Pro-active -Effective SB/SDB Subcontract Program

Unsatisfactory Nonconformances are comprising the achievement of contract requirements

Cost issues are comprising performance

Delays are compromising achievement of contract requirements

Response is not effective

Poor Nonconformances require major agency resources to ensure achievement of contract requirements

Cost issues require major agency resources to ensure achievement of contract requirements

Delays require major agency resources to ensure achievement of contract requirements

Response is marginally effective

Fair Nonconformances require minor agency resources to ensure achievement of contract requirements

Cost issues require minor agency resources to ensure achievement of contract requirements

Delays require minor agency resources to ensure achievement of contract requirements

Response is somewhat effective

Good Nonconformances do not impact achievement of contract requirements

Cost issues do not impact achievement of contract requirements

Delays do not impact achievement of contract requirements

Response is usually effective

Excellent There are no quality problems

There are no cost issues

There are no delays Response is effective