Attachment_N,_Past_Performance_Questionnaire.docx
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- Attached to
- HOC Financial Support Services Federal contract opportunity
- Solicitation number
- 86548B18R00001
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Attachment N, Past Performance Questionnaire (Survey)
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ATTACHMENT N
HOC FINANCIAL SUPPORT SERVICES
PAST PERFORMANCE QUESTIONNAIRE
The Department of Housing and Urban Development (HUD)is currently in the process of procuring a competitive contract for financial support services. [Name of Offeror] has provided this Questionnaire to you for a reference regarding its record of past performance with your company. HUD appreciates your time in completing this questionnaire to help it accurately assess the offeror’s capability to satisfactorily perform HUD’s requirement.
Please send completed questionnaires to HOCFinancialSupportServicesProposals@hud.gov.
NOTE TO OFFERORS: If the Questionnaire is provided for a subcontractor reference, the Offeror’s name below must include both the Prime and Subcontractor Names.
PAST PERFORMANCE QUESTIONNAIRE
Offeror’s Name:
Solicitation Number: 86548B18R00001 Name of person completing this questionnaire:
Title:
Company/Organization:
Telephone: E-mail:
Please rate the offeror in each of the following areas using the following scale. Please any add comments on additional pages with a reference to the question number to which the comment applies.
| · NA: | Not Applicable |
| · 1: | Performance clearly below the contract performance standard or requirement |
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. | Overall quality/satisfaction |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
Overall satisfaction with the offeror’s performance.
| 2. | Delivery performance |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.
| 3. | Satisfaction with the quality of service delivered |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 4. | Satisfaction with problem resolution |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
This includes the offeror’s ability to solve problems, the speed with which it handles problems, and its effective delivery of resolutions.
| 5. | Satisfaction with the quality of contractor personnel |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
Please rate the quality of the contractor’s staff in executing the project work scope.
6. Have you issued a letter or other notice directing the correction of a performance problem in the past 3 years?
|_| Yes |_| No If Yes, please explain.
7. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
8. Based on the offeror’s overall performance, would you award them another contract?
|_| Yes |_| No If No, please explain.
9. Have you discussed any adverse past performance problems with the offeror and given them an opportunity to comment? |_| Yes |_| No Please explain.
10. If the contract had options, were those options exercised? |_| Yes |_| No
11. What was the contract period of performance (i.e., when were services provided)?
12. What was the dollar value of the contract performed by the offeror?
13. Provide a brief description of the services provided by the offeror for this contract.
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the offeror’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.
Again, thank you for your time and honest assessment of the offeror’s prior performance.
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