Past Performance Questionnaire.doc
DOC document 55 KB Posted
- Attached to
- Overhaul of Coast Guard 32-foot TPSB
- Solicitation number
- 70Z04026Q51475B00
About this file
This is a Past Performance Questionnaire template used to evaluate contractor performance on completed federal contracts. The form collects comprehensive information about a contractor's past work, including the contractor name, contract number, contract type (Firm Fixed Price, Cost Reimbursement, or Other), performing agency, point of contact, performance location, period of performance, and total dollar value including modifications. The questionnaire requires evaluation of seven performance areas: Quality of Work, Personnel, Subcontractor Management, Business Relations, Timeliness of Performance, Customer Satisfaction, and Cost/Budget Control, with each area rated on a five-point scale (Unsatisfactory, Marginal, Satisfactory, Very Good, or Exceptional).
The evaluation guidelines provide detailed criteria for assessing each performance category. Quality of Work ratings consider compliance with contract requirements, accuracy of reports, personnel appropriateness, and technical excellence. Cost Control evaluations examine whether work stayed within budget, billing accuracy, cost efficiencies, and change orders issued. Timeliness assessments focus on meeting interim milestones, reliability, and on-time completion. Business Relations and Subcontractor Management ratings evaluate effective management, businesslike correspondence, responsiveness, problem notification, cooperation, flexibility, and implementation of small business subcontracting programs. The form concludes with a question regarding whether the evaluator would select the firm again, requiring explanatory comments. This template is designed to be completed by government personnel to document past contractor performance for use in future source selection decisions.
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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:
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
N/A
N/A
d. Business Relations
e. Timeliness of Performance
f. Customer Satisfaction
g. Cost/Budget Control
| N/A |
| N/A |
15. Would you select this firm again? Please explain. (Attach additional sheet if necessary.)
| 16. Name & Date: |
| 17. Title: |
PAST PERFORMANCE RATING GUIDELINES
Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good or Exceptional. 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/Service -Compliance w/contract requirements
-Accuracy of reports
-Appropriateness of personnel
-Technical excellence
Cost 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 reqmnts
-Prompt notification of problems
-Reasonable/ cooperative
-Flexible
-Pro-active
-Effective SB/SDB
Subcontract Program
| Unsatisfactory |
| Nonconformances |
are comprising the achievement of contract reqmnts
| Cost issues are comprising performance |
| Delays are compromising achievement of contract reqmts |
| Response is not effective |
| Marginal |
| Nonconformances |
require major agency resources to ensure achievement of contract reqmnts
| Cost issues require major agency resources to ensure achievement of contract reqmnts |
| Delays require major agency resources to ensure achievement of contract reqmnts |
| Response is marginally effective |
| Satisfactory |
| Nonconformances require minor agency resources to ensure achievement of contract reqmnts |
| Cost issues require minor agency resources to ensure |
achievement of contract reqmnts
| Delays require minor agency resources to ensure achievement of contract reqmnts |
| Response is somewhat effective |
| Very Good |
| Nonconformances |
do not impact achievement of contract reqmnts Cost issues do not impact achievement of contract reqmnts
| Delays do not impact achievement of contract reqmnts |
| Response is usually effective |
| Exceptional |
| There are no quality problems |
| There are no cost issues |
| There are no delays |
| Response is effective |
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