70Z08520RP4501500 Attachment 6 - Past Performance Questionnaire.pdf

PAST PERFORMANCE CUSTOMER QUESTIONNAIRE

70Z08520RP4501500 (2 pages)

1.OFFEROR FIRM/ORGANIZATION: (enter your company’s name)

2.

PERIOD OF PERFORMANCE: (from) (to)

CONTRACTING OFFICE:

CONTRACT NUMBER: TASK NO:

CUSTOMER ORGANIZATION:

CUSTOMER POC:

CUSTOMER PHONE NO.

ADDRESS:

CITY: STATE: ZIP CODE:

CONTRACT AWARD DATE:

CONTRACT VALUE (final value): $

TYPE OF CONTRACT:

DESCRIPTION OF REQUIREMENT (Title):

QUALITY OF PRODUCT OR SERVICE: (Rating ___) Additional Comments on Rating:

TIMELINESS OF PERFORMANCE: (Rating ___) Additional Comments on Rating:

BUSINESS RELATIONS: (Rating ___) Additional Comments on Rating:

Signature (Customer)

RATING GUIDELINES FOR CUSTOMERS

Summarize contractor performance in each of the rating areas. Assign each area a rating of

0 (Unsatisfactory) 1 (Poor) 2 (Fair) 3 (Good) 4 (Excellent) 5 (Outstanding) Use the following instructions as guidance in making these evaluations.

Criteria: Quality of Product or Service Timeliness of Performance Business Relations

* Compliance with contract requirements

* Accuracy of reports

* Effectiveness of personnel

* Technical excellence

* Met interim milestones

* Reliability

* Responsive to technical direction

* Completed on time including wrap-up and contract administration

* Met delivery schedules

* No liquidated damages assessed

* Effective management, including subcontracts

* Reasonable/cooperative behavior

* Responsive to contract requirements

* Notification of problems

* Flexibility

* Pro-active vs reactive

0 – Unsatisfactory Nonconformances are jeopardizing the achievement of contract requirements, despite use of Customer resources

Delays are jeopardizing performance of contract requirements, despite use of Customer resources

Response to inquiries, technical/service/administrative issues is not effective

1 – Poor Overall compliance requires major Customer resources to ensure achievement of contract requirements

Delays require major Customer resources to ensure achievement of contract requirements

Response to inquiries, technical/service/administrative issues is marginally effective

2 - Fair Overall compliance requires minor Customer resources to ensure achievement of contract requirements

Delays require minor Customer resources to ensure achievement of contract requirements

Response to inquiries, technical/service/administrative issues is somewhat effective

3 - Good Overall compliance does not impact achievement of contract requirements

Delays do not impact achievement of contract requirements

Response to inquiries, technical/service/administrative issues is usually effective

4 - Excellent There are no quality problems There are no delays Response to inquiries, technical/service/administrative issues is always effective

5 - Outstanding - The contractor has demonstrated an outstanding performance level in any of the above three categories that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances when contractor performance clearly exceeds the performance levels described as "Excellent."