Attachment J-4 Past Performance Questionnaire.pdf

Attachment J-4 Past Performance Questionnaire Solicitation 9594CS25Q0079

Inspection, Testing, and Preventative Maintenance of CSOSA Fire and Life Safety Systems consisting of Fire Protection Systems, Fire Suppression Systems, and Fire Extinguishers at various CSOSA locations through the Washington, DC metropolitan area.

When filled in, this document is Source Selection Sensitive Information

IAW FAR 2.101 and 3.104.

1. The Court Services and Offender Supervision Agency (CSOSA) is conducting an acquisition to provide inspection, testing, and preventative maintenance of CSOSA Fire and Life Safety Systems consisting of fire protection systems, fire suppression systems, and fire extinguishers at various CSOSA locations through the Washington, DC metropolitan for the CSOSA Office of Facilities.

2. You have been listed by (enter name of entity submitting a quote) as a current or past client reference who can serve as a past performance reference. The following information is being collected to help the CSOSA Contracting Officer evaluate past performance during the evaluation of proposals.

3. 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. That individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.

4. Handwritten responses are sufficient. Please make them legible.

5. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included on the last page of the survey.

If more space is needed, additional pages may be added.

6. As the survey relates to an ongoing source selection for the services for above identified requirement, we request that all information provided within the survey be safeguarded against unauthorized disclosure.

7. Upon completion of the questionnaire, return to the person who sent it to you so that it may be submitted with the quoters technical proposal.

Date of Survey: ________________________________________________________________ Name of Person Completing Survey:________________________________________________ Title of the Person Completing Survey:______________________________________________ Telephone and Fax Number:_______________________________________________________ Email Address:_________________________________________________________________ Your Company/Agency:__________________________________________________________ Contract Name:_________________________________________________________________ Contract Number: _______________________________________________________________ Period of Contract Performance: ___________________________________________________ Total Dollar Amount of Contract: __________________________________________________ Your Role in this Contract: _______________________________________________________ General description of products/services required under the contract: _______________________

8. Did the contractor perform as a prime or subcontractor? _______________________________

9. Performance Information. Choose the number on the scale of 1 to 6 that most accurately describes the

Solicitation Number: 9594CS25Q00XX contractor’s performance or situation. Please provide a narrative explanation for any ratings of 1, 2 or 3.

Evaluation Ratings Rating Definition

1 Neutral Performance was not observed or not applicable to the current effort being reported against.

2 Unsatisfactory

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 contractor’s corrective actions appear or were ineffective.

3 Marginal

Performance does not meet some contractual requirements. The contractual performance of the element or sub- element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

4 Satisfactory

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 were satisfactory.

5 Good

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

6 Exceptional

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Place an “X” in the appropriate block using the definitions matrix above.

SCHEDULE

1. Contractor’s responsiveness/timeliness in providing the required services. 1 2 3 4 5 6

2. Contractor’s responsiveness/timeliness to administrative functions of the contract.

1 2 3 4 5 6

3. Contractor’s responsiveness/timeliness in responding to questions or correspondence.

1 2 3 4 5 6

4. Contractor’s compliance with contract terms and conditions. 1 2 3 4 5 6

5. Were any contract concessions/changes/terminations made due to the contractor’s failure to accurately plan?

Yes No

MANAGEMENT OF KEY PERSONNEL

6. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

1 2 3 4 5 6

7. Contractor’s preparation & training of personnel. 1 2 3 4 5 6

8. Contractor’s ability to effectively manage subordinates. 1 2 3 4 5 6

QUALITY OF SERVICES

9. Provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 6

10. Followed approved quality control plan. 1 2 3 4 5 6

11. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

1 2 3 4 5 6

12. Provided timely resolution of contract discrepancies. 1 2 3 4 5 6

13. Identified problems as they occurred. 1 2 3 4 5 6

14. Suggested alternative approaches to problems. 1 2 3 4 5 6

15. Displayed initiative to solve problems. 1 2 3 4 5 6

16. Developed realistic progress schedules. 1 2 3 4 5 6

17. Met established project schedules. 1 2 3 4 5 6

18. Contractor’s ability to assimilate & accommodate changes in contractual requirements and/or priority.

1 2 3 4 5 6

19. Contractor’s exhibited knowledge of and compliance with Government (or other) regulations.

1 2 3 4 5 6

20. Contractor’s demonstration of technical expertise in providing all contractual services.

1 2 3 4 5 6

21. Contractor possession/utilization of tools/equipment necessary for adequately providing the required services.

1 2 3 4 5 6

22. Contractor’s accomplishment in meeting the Quality standards specified for:

a. Technical Performance 1 2 3 4 5 6

b. Administrative Performance 1 2 3 4 5 6

23. Has the Contractor ever failed to effectively control the quality of services provided? If yes, please explain in Remarks Section.

Yes No

24. Has a Contract Discrepancy Report (or equivalent) ever been issued? If yes, please explain in the Remarks Section.

Yes No

25. Has a Cure Notice or Show Cause Letter ever been issued? If yes, please explain in the Remarks Section.

Yes No

26. Have there been any disputes/claims relative to the contract? If yes, please explain in the Remarks Section

Yes No

27. Has a Contractor demonstrated the ability to correct any of the problems referenced above? If yes, please explain in the Remarks Section.

Yes No

28. Has a Contract been terminated for default? If yes, please explain in the Remarks Section.

Yes No

29. Has an election ever been made to not exercise an option due to the Contractor’s poor performance? If yes, please explain in the Remarks Section

Yes No

25. Has a Cure Notice or Show Cause Letter ever been issued? If yes, please explain in the Remarks Section.

Yes No

26. Have there been any disputes/claims relative to the contract? If yes, please explain in the Remarks Section

Yes No

27. Has a Contractor demonstrated the ability to correct any of the problems referenced above? If yes, please explain in the Remarks Section.

Yes No

28. Has a Contract been terminated for default? If yes, please explain in the Remarks Section.

Yes No

29. Has an election ever been made to not exercise an option due to the Contractor’s poor performance? If yes, please explain in the Remarks Section

Yes No

BUSINESS RELATIONS

30. Contractor’s management of subcontracts. 1 2 3 4 5 6

31. Have there been any labor disputes? If yes, please explain in the Remarks Sect ion.

Yes No

32. Have there been any violations of Public Law, especially the Service Contract Act? If yes, please explain in the Remarks Section.

Yes No

33. Contractor’s ability/willingness to consistently provide prompt and courteous service.

1 2 3 4 5 6

34. Contractor’s ability/willingness to promptly and courteously resolve customer complaints.

1 2 3 4 5 6

35. Contractor’s overall commitment to customer satisfaction. 1 2 3 4 5 6

37. How would you rate the integration and coordination of all activity needed to perform this contract?

1 2 3 4 5 6

38. How would you the Contractor’s overall performance? 1 2 3 4 5 6

39. Would you award another contract to this Contractor? If not, please explain in the Remarks Section.

Yes No

Remarks: