Attachment Y - Past Performance Questionaire.pdf

Construction Management, Inspection, Surveying, and Testing

Past Performance Questionnaire

Once completed, this document will be considered source sensitive in accordance with FAR 3.104

1. The survey should be completed by the individual most knowledgeable of the contractor's day-to-day operations and overall condition of services being rendered. However, that individual is encouraged to supplement their own knowledge of the contractor's performance with the judgment of others in the organization, as applicable.

2. Handwritten responses are sufficient, but request they be legible.

3. The following descriptions should be used as guidance in providing ratings:

Performance Ratings/Questions: Based on your knowledge of the contract identified below, please provide your assessment of how well the Contractor performed on the questions listed in the table below. It is very important to keep in mind that only performance in the past 3 years is relevant. You are strongly encouraged to give a short narrative indicating why you chose the adjective you did, especially for those answers that are “Good,” “Fair,” “or “Poor.” The following definitions are offered for your use in assigning a performance rating:

4. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just detailed. Space for narrative comments is included with the questions. If more space is needed, use the back of the survey or attach additional pages.

5. This survey relates to an on-going source selection for the services identified above. All information provided within the survey will be safeguarded against unauthorized disclosure.

6. We appreciate your time and effort in providing this vitally important information.

Please return this completed form to Daniel Griffith, Contract Specialist, at daniel.r.griffith@nasa.gov no later than August XX, 2023. For any questions please contact Carrie by email or phone at (216) 433-2461.

Thank you for taking the time to fill this out.

Code Rating Description

E Excellent Of exceptional merit; exemplary performance in a timely, efficient, and economical manner; very minor (if any) deficiencies with no adverse effect on overall performance.

VG Very Good Very effective performance, fully responsive to contract requirements;

contract requirements accomplished in a timely, efficient, and economical manner for the most part; only minor deficiencies.

G Good Effective performance; fully responsive to contract requirements;

reportable deficiencies, but with little identifiable effect on overall performance.

F Fair Meets or only slightly exceeds minimum acceptable standards; adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.

P Poor Does not meet minimum acceptable standards in one or more areas;

remedial action required in one or more areas, deficiencies in one or more areas which adversely affect overall performance.

NA NA Not applicable

Construction Management, Inspection, Surveying, and Testing

17. Would you do business with the contractor again? Would you have any reservations about recommending a future contract award to this company? Please elaborate.

18. Please provide any other information you feel is pertinent but was not covered by this questionnaire: