Attachment_3_-_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

RFP: AB-133E-16-RP-0058

Attachment 3

PAST PERFORMANCE QUESTIONNAIRE

RFP: AB-133E-16-RP-0058

National Oceanic Atmospheric Administration (NOAA)

Fairbanks Command and Data Acquisition Station Operations and Maintenance

Offeror: Please complete Part 1 and provide each reference/evaluator with the form.

Reference/Evaluator: Please complete Part 2 and provide your candid responses. The information you provide will be used in the evaluation of the offeror/contractor for potential award of a federal contract or agreement; therefore it is important that your information is factual, accurate, and as complete as possible. If you do not have knowledge of or experience with the company in question, please forward to the person who does.

Please submit the completed survey by email prior to 2:00PM (PT) on May 9, 2016.

NOAA Western Acquisition Division email: andrew.wall@noaa.gov

Attn: Andrew Wall, Contract Specialist

7600 Sand Point Way NE SOU6

Seattle, WA 98115

PART 1: (TO BE COMPLETED BY THE OFFEROR)

A. NAME OF OFFEROR:

B. NAME/ADDRESS OF ENTITY

PROVIDING EVALUATION

INFORMATION:

Company Name:

Evaluator's Name and Title:

Address:

Telephone No.: E-mail Address:

C. PROJECT INFORMATION

Include name of company being evaluated. Include similarities/ relevance to solicitation project, a description of work performed, and the contract type of the evaluated project.

RFP: AB-133E-16-RP-0058

(END OF PART 1)

PART 2: EVALUATION (INFORMATION TO BE COMPLETED BY THE CUSTOMER REFERENCE RESPONDING

FOR THE OFFEROR):

For each performance element identified below, references should evaluate performance of the firm or individual identified in Part 1 of this form. Where the reference lacks sufficient information to provide an evaluation for a particular performance element, this should be noted. Where any deficiency or unfavorable information is identified, the reference should identify any mitigating factors that may weigh in favor for the person/firm on whose behalf the reference is provided (i.e., problems due to causes outside the contractor's control). An individual within your organization that is knowledgeable of the contractor's day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor's (offeror's) performance with the judgment of others within their organization, as applicable.

The following chart depicts the ratings that are to be used to evaluate the contractor's performance:

E VG S M U

Exceptional Very Good Satisfactory Marginal Unsatisfactory

NOTE: UNKNOWN RISK WOULD BE THE EQUIVALENT TO THE EVALUATOR PROVIDING A "NOT APPLICABLE

(N/A)" TO ANY OF THE QUESTIONS.

When responding to the questions listed, circle or highlight the letter that most accurately describes the contractor's performance or situation. For any poor rating, please provide explanatory narratives in the remarks block. These narratives need not be lengthy, just detailed. If a question is not applicable, circle N/A. If you circle a Yes or No answer that is marked with an asterisk (*), please provide a corresponding explanation in the remarks block. If more space is required, use the back of the questionnaire or attach additional pages. Handwritten responses to this questionnaire are acceptable. However, if responses are handwritten, please print legibly.

Your time and effort in providing this information is vitally important and is greatly appreciated.

RFP: AB-133E-16-RP-0058

QUALITY OF SERVICE

1. Contractor's ability to meet minimum requirements specified for performance. E VG S M U N/A

2. Contractor's compliance with contractual terms and conditions. E VG S M U N/A

3. Contractor's ability to meet specific response times and scheduled timeframes E VG S M U N/A for completion of specific tasks.

4. Overall rating of contractor's quality of service. E VG S M U N/A

BUSINESS RELATIONS

1. Contractor's ability to correct problems and prevent or mitigate potential E VG S M U N/A problems in a timely manner.

2. Contractor's ability to use effective approaches and provide technical E VG S M U N/A expertise and resources to solve contract problems.

3. Extent to which the contractor has demonstrated reasonable and E VG S M U N/A cooperative behavior.

RFP: AB-133E-16-RP-0058

4. Contractor's effectiveness in interfacing with all customers. E VG S M U N/A

5. Overall rating of customer satisfaction. E VG S M U N/A

MANAGEMENT OF KEY PERSONNEL

1. Contractor's ability to meet appropriate staffing levels with qualified E VG S M U N/A personnel in order to provide required services.

2. Contractor's ability to replace key personnel in a timely fashion. E VG S M U N/A

3. Functional expertise of the contractor's staff. E VG S M U N/A

4. Overall rating of contractor's management of key personnel. E VG S M U N/A

COMPLIANCE WITH LABOR, ENVIRONMENTAL SAFETY, HEALTH

AND SECURITY REQUIREMENTS

1. Contractor's compliance with safety requirements. E VG S M U N/A

RFP: AB-133E-16-RP-0058

2. Contractor's ability to accommodate health requirements. E VG S M U N/A

COST MANAGEMENT

1. E VG S M U N/A Extent to which the contractor provided a reasonable price proposal.

2. Contractor’s ability to execute contract performance within negotiated cost/price. E VG S M U N/A

CONTRACTUAL CONSIDERATIONS

1. Has an election ever been made not to exercise an option or continue the contract YES* NO due to contractor's poor performance?

2. Has a Contract Discrepancy Report ever been issued? YES* NO

3. Has this contract been partially or completely terminated for default or YES* NO cause? Partially _________ Completely ___________

4. Overall rating of contractor's performance under this contract. E VG S M U N/A

RFP: AB-133E-16-RP-0058

5. Would you contract with or hire this contractor again? YES NO*

*ADDITIONAL REMARKS

Are you aware of other relevant past efforts by this company? If yes, please provide the name and telephone number of a point of contact.

Similarities/Relevance: