Attchment_3,_Past_Performance_Survey.doc

ATTACHMENT 3 - COMBINED SYNOPSIS/SOLICITATION NO. 75N96019Q00009: Grants Application Development System (GADS) III

Past Performance Survey Questionnaire

PAST PERFORMANCE SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return it, via email, to the attention of the individual named below, no later than July 22, 2019, 5:30 PM Eastern Standard:

Procuring Contracting Officer: Christopher Fisher

Telephone: 984-287-3025

E-Mail: christopher.fisher@nih.gov ______________________________________________

This survey pertains to: __________________________________________________________ Department/Component: _________________________________________________________

Solicitation Number: ____________________________________________________________

Date of Survey: ________________________________________________________________

Name of Person Completing Survey: _______________________________________________

Signature of Person Completing Survey: _____________________________________________

Contract Information of Person Completing Survey: _____________________________________________

Your Company/Agency:__________________________________________________________

Your Role in this Contract: _______________________________________________________

Survey Period of Performance: ____________________________________________________

General description of products/services required under the contract: ____________________

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support very high or very low rating should be noted on page 6.

Assign each area a rating of, 4 (Outstanding), 3 (Good), 2 (Acceptable), and 1 (Unsatisfactory). Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating.

QUALITY OF SERVICE:

1. Compliance with contract requirements:

N/A

Supporting Narrative: (Explanation of rating)________________________________

2. Accuracy of reports:

N/A

Supporting Narrative: (Explanation of rating)________________________________

3. Level of knowledge, experience, and training of personnel:

N/A

Supporting Narrative: (Explanation of rating)________________________________

4. Capability of personnel to perform required services:

N/A

Supporting Narrative: (Explanation of rating)________________________________

5. Effectiveness of personnel in performing required services:

N/A

Supporting Narrative: (Explanation of rating)________________________________

6. Overall quality of service:

N/A

Supporting Narrative: (Explanation of rating)________________________________

TIMELINESS OF PERFORMANCE:

1. Reliability:

N/A

Supporting Narrative: (Explanation of rating)________________________________

2. Responsive to technical direction:

N/A

Supporting Narrative: (Explanation of rating)________________________________

3. Meets contract delivery schedules and/or task deadlines:

N/A

Supporting Narrative: (Explanation of rating)________________________________

BUSINESS RELATIONS:

1. Effective management, including subcontracts:

N/A

Supporting Narrative: (Explanation of rating)________________________________

2. Reasonable/cooperative behavior:

N/A

Supporting Narrative: (Explanation of rating)________________________________

3. Responsive to contract requirements:

N/A

Supporting Narrative: (Explanation of rating)________________________________

4. Notification of problems:

N/A Supporting Narrative: (Explanation of rating)________________________________

5. Flexibility:

N/A

Supporting Narrative: (Explanation of rating)________________________________

6. Pro-active vs. reactive:

N/A

Supporting Narrative: (Explanation of rating)________________________________

COST CONTROL

1. Current, accurate and complete billings:

N/A

Supporting Narrative: (Explanation of rating)________________________________

2.

Relationship of negotiated costs to actuals:

N/A

Supporting Narrative: (Explanation of rating)________________________________

3. Cost efficiencies:

N/A

Supporting Narrative: (Explanation of rating)________________________________

CUSTOMER SATISFACTION

1.

The contractor is committed to customer satisfaction:

a. Contractor Management Personnel

(circle one) Yes No

b. Contractor Onsite Facility Personnel

(circle one) Yes No

ADDITIONAL COMMENTS:

Rating Guidelines

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