B02_Attachment 5_Past Performance Questionnaire.docx
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- Solicitation number
- 73351024R0018
- Issued by
-
Small Business Administration
About this file
This document is a Past Performance Questionnaire for the Small Business Administration's "Filing COVID-19 EIDL Uniform Commercial Code (UCC) Continuation Statements" requirement.
The questionnaire requests the evaluator to provide information about a specific contract, including the contractor, project title, contract number, customer agency, contract value, period of performance, and description of services provided. The evaluator is then asked to rate the contractor's performance across several factors such as overall customer satisfaction, quality of product, and timeliness of performance using a defined rating scale. The evaluator may also provide supporting narrative for the ratings selected.
The related federal contract opportunity is Solicitation Number 73351024R0018, issued by the Small Business Administration, for the "Filing COVID-19 EIDL Uniform Commercial Code (UCC) Continuation Statements" requirement. The solicitation requests proposals to provide these services.
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Past Performance Questionnaire for the Small Business Administration’s Filing COVID-19 EIDL Uniform Commercial Code (UCC) Continuation Statements Requirement
When filled in this document is source selection sensitive IAW FAR 3.104
1. Instructions Please complete this questionnaire Sections 2, 3 and 4 and send the completed copy to the Contracting Officer, Sara Soeka, at sara.soeka@sba.gov.
2. Contract Identification Contractor:
Project title:
Contract and order number (if applicable):
Customer agency or company name:
Total dollar value (base and all options):
Contract period of performance (base and all options):
Description of services provided:
Solicitation 73351024R0018 Attachment 6 – Past Performance Questionnaire 3.
4. Evaluation Evaluator's name:
Evaluator’s job title:
Evaluator's phone number:
Evaluator’s email address:
Number of years evaluator worked on subject contract:
Place of performance including geographic description of services under this contract, i.e., local, nationwide, worldwide, or other):
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate rating column of Table 2 to the right of each question. The rating scale used is defined as follows:
Table 1 – Definition of Terms
| (E) EXCEPTIONAL |
| The contractor has substantially exceeded the contract performance requirements. |
| (S) SATISFACTORY |
| There are no, or very minimal issues and the contractor has met the contract requirements. |
| (U) UNSATISFACTORY |
| Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. |
| (N) NOT APPLICABLE |
| Evaluation area not applicable to this contracted effort |
Table 2 – Evaluation Factors
| Overall Customer Satisfaction |
| E |
| S |
| U |
| N |
How satisfied was the customer with firm’s demonstrated business-like concern for the interest of its customer?
How satisfied was the customer with the firm’s management of its personnel, subcontractors, or teaming partners in meeting the customer’s requirements?
| Would the customer select this firm again? (Check Yes/No) |
| Yes |
No
Quality of Product
How well was the firm able to demonstrate compliance with contract requirements?
How well was the firm able to submit deliverables and accurately complete reports to the highest quality standards?
How well was the firm able to demonstrate appropriate levels of expertise and professionalism?
How well was the firm able to administer the contract in an acceptable and appropriate manner?
Timeliness of Performance
How well was the firm able to meet all milestones as defined by the contract and customer?
How well was the firm able to complete deliverables in a timely manner?
How well did the firm respond to contract requirements and customer direction?
How was the firm’s overall reliability in performing in a timely manner?
5. Supporting Narrative The evaluator may provide supporting detail below for any of the ratings applied in Section 3, particularly if an E or U is selected:
<add details here as necessary>
File details come from the government source that posted it. Updated .