Past_Performance_Questionnaire.docx

Past Performance Questionnaire Solicitation 75N98023R00002

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ___ ___________________________________

B. Agency/Client: ___ ________________________________

C. Contract/Project Title: _ ______________________________________

D. Contract Number: __ ____________________________

E. Contract Type: ____ ___________________________________________________

F. Period of Performance: _________________________________________________

G. Contract Value: I don’t know what that means

Initial: ___________ Final: ___________

H. Offeror role (Prime or Subcontractor) I don’t know what that means.

I. Government Point of Contact: No idea

Name: ______________________________________ Email Address: _______________________________ Telephone Number: ____________________________

J. Description of service provided:

SECTION 2: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

Ability to understand/comply with customer objectives and technical requirements

Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

Adequacy/effectiveness of quality control program

Quality/effectiveness of sub-contracted efforts

Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

Ability to successfully respond to emergency and/or surge situations

Effectiveness of material management (including Government Furnished Property or Material)

Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

Contractor ability to smoothly transition resources and personnel.

Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

Ability to hire/apply a qualified workforce to this effort.

Ability to retain a qualified workforce on this effort.

Accuracy in forecasting contract costs

Ability to meet forecasted costs and perform within contract costs

Ability to alert Government of unforeseen costs before they occur

Sufficiency and timeliness of cost reporting

Government Contracts Only: has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

__Contractor still works here full time and is outstanding. There is no reason to terminate them. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SECTION 3: NARRATIVE SUMMARY

What were the contractor’s greatest weaknesses in the performance of the contract?

Would you hire this contractor in the future to perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Name Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to Anita Edwards, anita.edwards@nih.gov and Shannon Scarboro, shannon.scarboro@nih.gov and cc Brooke Bruch, brooke@contemps.com and Kate Gustafson, kate@contemps.com.