Past Performance Questionnaire.pdf

U.S. International Development Finance Corporation Draft RFP: 77344426R0001 Past Performance Questionnaire

SECTION A

(TO BE COMPLETED BY OFFEROR REQUESTING REFERENCE)

PART I: OFFEROR INFORMATION

Offeror Name Offeror Address Offeror DUNS Offeror POC Name POC Email POC Phone TITLE OF PROJECT/ENGAGMENT or CONTRACT NUMBER:

PROJECT/ENGAGMENT ROLE (Prime or Subcontract) Period of Performance Start Date: End Date:

PART II: PAST PERFORMANCE REFERENCE INFORMATION

GENERAL DESCRIPTION OF TYPE OF SERVICES/PRODUCTS REQUIRED UNDER THE

CONTRACT:

DESCRIBE THE COMPLEXITY OF THE WORK PERFORMED):

SECTION B

(TO BE COMPLETED BY INDIVIDUAL PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION:

CONTRACT ROLE (e.g. CO, COR, PM):

ADDRESS:

PHONE NUMBER:

EMAIL:

Part II: INFORMATION ABOUT REFERENCED PROJECT/CONTRACT Please Identify and correct any information that is not accurate in Section A (Reference may attach additional pages if required):

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating:

• Exceptional (E): Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

• Very Good (VG): Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

• Satisfactory (S): Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

• Marginal (M): Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.

• Unsatisfactory (U): Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contract’s corrective actions appear or were ineffective

Performance Element E V

G S M U

1. Quality of Product or Service: Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship/performance (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

Comments:

2. Schedule: Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule).

3. Cost Control: Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.

Comments (Please Put N/A if a FFP Contract):

4. Business Relations: Assess the contractor’s integration and coordination of all the activities needed to execute the contract, specifically focus on the timeliness, completeness, and quality of the offeror’s problem identification procedures, corrective action plans, the contractor’s history of reasonable and cooperative behavior, customer satisfaction (including professional concern for interest of customers), and timely award and management of subcontractors.

5. Management of Key Personnel: Assess the contractor’s performance in selecting, retaining, supporting, and replacing key personnel, when necessary, with equally qualified candidates.

6. Utilization of Small Business: FAR Subpart 19.7 and 15 U.S.C. 637 contains statutory requirements for complying with the Small Business subcontracting Program. Assess whether the contractor provided maximum practicable opportunity for small business to participate in contract performance consistent with efficient performance of the contract.

Comments (Please Put N/A if Offeror is a Small Business):

7. What would your overall rating of this contractor’s performance be?

8. Identify any overall strengths on the referenced projects.

9. Identify any overall weaknesses on the referenced projects.

10. Given the choice, would you award to this contractor again? Why?

11. Are you aware of any other efforts performed by this contractor similar in nature to this contract?

Please identify the contractor/program and any known point of contact.

12. Additional comments you would like to share (Reference may attach additional pages if required):

Signature Date