Contractor Performance Data Sheet.pdf

CONTRACTOR PERFORMANCE DATA SHEET

(Complete one Form for each Reference)

This RFP/RFQ Number:

Contractor Name:

Address:

Contractor’s POC (Person to verify data):

Telephone:

FAX:

CONTRACT PERFORMANCE INFORMATION

Contract Number: Date Completed:

Contract Type: FFP___ Cost Reimbursement ___ Other (Specify) ___________ Brief Item/Service Description (See Quality (1) below to provide additional detail):

Project Location Project Size/Period of Performance:

Customer Name:

Customer POC (Person who can verify data):

Address:

Telephone:

FAX:

CONTRACTOR MUST COMPLETE THE FOLLOWING TO BE CONSIDERED RESPONSIVE

QUALITY

YES NO

1 Were supplies/services similar in nature to this solicitation’s work description? * 2 Was/is any part of this contract terminated for default and/or in litigation? * 3 Was consideration or a monetary withhold for non-conforming supplies/services? * 4 Was any warranty work completed on delivered items or rework of services? * 5 Did you receive any quality awards in the past three years?

CUSTOMER SATISFACTION

6 Were the customers completely satisfaction with the completed products & services? *

TIMELINESS

7 Were all items (including products, services, reports, etc.) delivered within the original contract schedule?

8 Were liquidated damages or consideration assessed for late delivery *

BUSINESS RELATIONS

9 Did subcontractor get effectively managed where subcontracts were necessary? * 10 Was an environment of reasonableness and cooperation nurtured whereby flexibility existed and solutions were recommended?

11 Was there a good working relationship with the Contracting Officer and COR? *

OTHER PERTINENT INFORMATION

12 Describe any corrective action(s) initiated to solve any of the above-described problems/deficiencies on this contract.

Discuss the success of the corrective action(s) taken.*

NOTES:

(1) Answers in columns containing an asterisk (*) require an explanatory narrative attached to this form. Other answers may include narrative response at the offerors election.

(2) The information provided may be used to evaluate the offeror’s past performance in meeting cost, price, technical, and performance objectives. The results may be used in the overall comparative evaluation of the offeror(s) in accordance with Evaluation Factors for Award provisions.