70Z08526RLREP0010 Attachment 9 Past Performance Questionnaire.docx

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Attached to
Dock-Side (DS): USCGC HEALY (WAGB 20) Fiscal Year 2027
Solicitation number
70Z08526RLREP0010
Issued by

About this file

This is a Past Performance Questionnaire template designed to evaluate contractor performance on federal contracts. The form serves as an assessment instrument for government evaluators to rate a contractor's historical performance across 24 specific criteria using a five-point scale: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), and Unsatisfactory (U). The questionnaire requires respondent identification information including name, title, address, telephone number, and email address, along with signature authorization.

The evaluation criteria encompass management and staffing capabilities, quality control procedures, schedule adherence, problem-solving responsiveness, cost proposal accuracy, and overall contractor cooperation with government personnel. Specific assessment areas include contractor ability to provide experienced management, maintain qualified personnel, implement quality control plans, meet project schedules, resolve contract discrepancies and warranty defects, respond to contract changes, and pay subcontractors timely. The form also includes yes/no questions regarding issuance of cure or show cause notices, willingness to award future contracts, and CPARS rating status. A remarks section allows evaluators to provide narrative explanations for any unsatisfactory ratings and to elaborate on other responses. This template is Attachment 9 to solicitation 70Z08526RLREP0010 for Dock-Side maintenance services on USCGC HEALY (WAGB 20) issued by the Department of Homeland Security US Coast Guard.

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Attachment 9 - Past Performance Questionnaire

OVERALL INFORMATION ON CONTRACT:

RESPONDENT INFORMATION:

Name of Respondent:

Title:

Signature of Respondent:

Address

Telephone Number:

Email Address:

PERFORMANCE INFORMATION

Choose the appropriate letter on the scale (E, VG, S, M, and U) that most accurately describes the Contractor’s performance or situation. Please provide a narrative explanation for any rating of Unsatisfactory.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
Performance meets contractual requirements. The contractual performance of the task and/or sub-task contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
Performance does not meet some contractual requirements. The contractual performance of the task and/or sub-task being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the task and/or sub-task contains a serious problem(s) for which the Contractor’s actions appear or were ineffective.

Place an “X” in the appropriate column using the definitions matrix above.

The Contractor has:
E
VG
S
M
U
1
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
3
Delegated authority to project managers and supervisors commensurate with contract requirements.
4
Home office participated in solving significant local problems.
5
Followed approved quality control plan.
6
Provided effective quality control and/or inspection procedures to meet contract requirements.
7
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
8
Provided timely resolution of contract discrepancies.
9
Identified problems as they occurred.
10
Suggested alternative approaches to problems.
11
Displayed initiative to solve problems.
12
Developed realistic progress schedules.
13
Met established project schedules.
14
Provided timely resolution of warranty defects.
15
Was responsive to contract changes.
16
Provided adequate project supervision.
17
Obtained consent of surety for increases in bonding as work-in-progress increased.
18
Paid subcontractors/suppliers in a timely manner.
19
Provided accurate and complete line-item cost proposals including all aspects of work required for each task.
20
Cooperated with Government personnel after award.
21
How would you rate the contractor's overall performance?
22
Was the Contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks”.
Yes / No
23
Would you award another contract to this Contractor? If not, explain in “remarks”.
Yes / No
24
Is this Contractor rated in CPARS?
Yes / No

Remarks:

70Z08526RLREP0010

Attachment 9

File details come from the government source that posted it. Updated .