Solicitation_Attachment_C_-_Past_Performance_Questionnaire.docx
DOCX document 32 KB Posted
- Attached to
- OEM Helms Chair System Federal contract opportunity
- Solicitation number
- 70Z04018Q55550B00
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PPQ
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation_70Z04018Q55550B00.pdf | ||
| Solicitation_Attachment_B_-_D-000-0100_Rev._G.pdf | ||
| Solicitation_Attachment_A_-_Contract_Line_Item_Numbering.xlsx | XLSX spreadsheet |
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PAST PERFORMANCE QUESTIONNAIRE
TO: Government agency or commercial organization (i.e., customer) with knowledge on offeror’s past performance
1. Please complete this questionnaire, which concerns the past performance of a contractor or subcontractor who is doing business (or has done business) with you, and is interested in doing business with the Surface Forces Logistics Center/United States Coast Guard (SFLC/USCG). Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages. Responses will be treated as source selective sensitive information. The contractor who provided SFLC/USCG with your name as a reference was informed during the solicitation process that past performance references will be contacted.
Email the completed questionnaire to halim.toulas@uscg.mil.
2. Please complete the following identifying information and past performance assessment for the following contract:
| A. Name of Offeror: | _____________________ | |
| B. Contract Number: | _____________________ | |
| C. Period of Performance: | _____________________ | |
| D. Total Contract Amount (Including any Options) | _______________ |
E. Description of product or services: __________________________
Performance Rating Definitions:
| Exceptional (E) |
| Very Good (V) |
| Satisfactory (S) |
| Marginal (M) |
| Unsatisfactory (U) |
| N/A |
| Indicates performance clearly exceeded requirements. Area of evaluation contains few minor problems for which corrective action appears highly effective. |
| Indicates performance exceeded some requirements. Area of evaluation contains few minor problems for which corrective action appears effective. |
| Indicates performance meets contractual requirements. Area of evaluation contains some minor problems for which the corrective actions appear satisfactory. |
| Indicates performance meets contractual requirements. Area of evaluation contains a serious problem for which corrective actions have not yet been identified, appear only marginally effective, or have not been fully implemented. |
| Indicates the contractor is in danger of not being able to satisfy contractual requirements and recovery is not likely in a timely manner. Area of evaluation contains serious problems for which the corrective actions appear ineffective. |
| Neutral or Unknown |
3. Using the codes above, place a “circle” next to the appropriate letter for each item on the questionnaire. If you need to provide supporting narrative, please use the space below each question:
(1) Cost/Price Control – Rate the contractor’s ability to control cost and deliver at the agreed-to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).
E V S M U N
(2) Schedule Adherence – How well did the contractor adhere to the agreed-to schedule? What were the causes of any schedule variances? Were data deliverables and reports submitted on time?
E V S M U N
(3) Performance – Rate the contractor’s ability to successfully comply with the contract requirements, statement of work, subcontracting plan, etc.
E V S M U N
(4) Quality – How well did the contractor adhere to the requirements of a Quality Assurance Plan or Performance Based Contracting requirements? Did the services provided meet the required level of quality or results?
E V S M U N
(5) Business Relations – Did the contractor exhibit reasonable/cooperative behavior in dealing with problems?
E V S M U N
(6) What is your overall rating of the contractor’s performance?
E V S M U N
(7) Identify the contractor’s strengths:
(8) Identify the contractor’s weaknesses:
(9) Given the choice, would you award to this contractor again? Why?
(10) Are you aware of any other efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contract.
4. Please provide the name title Government agency or commercial organization phone number and e-mail address of the person completing this questionnaire.
Name of Respondent: ________________
Title: _____________________________
Government agency/commercial organization: ________________________
Telephone Number: ___________________
Email address: ___________________
Thank you for your assistance.
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