AG-2B46-S-16-0040_Past_Perf_Questionnaire_attachment.pdf

AG-2B46-S-16-0040

PAST PERFORMANCE QUESTIONNAIRE

Offerors must have at least two (2) questionnaires completed by customers and have returned sealed to this office No Later Than the date established for receipt of offers.

Name of Contractor requesting completion of questionnaire:

Name of firm completing questionnaire: ______________________________________________

Name, Title, and Phone Number of Person _______________________________________________

Completing Questionnaire: _______________________________________________

Length of time your firm has been involved with the offeror: ______________________________________

Submit Past Performance Cover Sheet and Questionnaire by Proposal Due Date To:

United States Department of Agriculture National Resources Conservation Service Attn:

Contracting Officer: Jane LaBorde Telephone: 413-253-4357 Email: Jane.LaBorde@wdc.usda.gov mailto:Jane.LaBorde@wdc.usda.gov

Instructions: Based on your knowledge of the contract, please provide your assessment of how well the contractor performed on each of the following topics. Only performance in the past 5 years is relevant. Please check the appropriate rating and comment on all responses other than those rated Satisfactory or N/A.

Performance Rating Definitions:

Exceptional (E) Very Good (V) Satisfactory (S) Marginal (M) Unsatisfactory

(U) N/A

Indicates performance clearly exceeded requirements.

Area of evaluation contains few minor problems for which corrective action appears highly effective.

Indicates performance exceeded some requirements.

Area of evaluation contains few minor problems for which corrective action appears effective.

Indicates performance meets contractual requirements.

Area of evaluation contains some minor problems for which the corrective actions appear satisfactory.

Indicates performance meets contractual requirements.

Area of evaluation contains a serious problem for which corrective actions have not yet been identified, appear only marginally effective.

Indicates the contractor is in danger of not being able to satisfy contractual requirements and recovery is not likely in a timely manner. Area of evaluation contains serious problems for which the corrective actions appear ineffective.

Neutral or Unknown

Questions:

How responsive was the contractor to questions from your staff? E V S M U N/A

Did the contractor utilize an electronic record keeping system for time and attendance policy?

E V S M U N/A

Did you learn of staffing changes from the contractor? E V S M U N/A

Did the contractor provide periodic evaluation of their services provided? E V S M U N/A

Did the contractor provide periodic evaluation of their contract employee? E V S M U N/A

Did the contractor request feedback on the services provided by them and their employee?

E V S M U N/A

How responsive was the contractor to questions from their personnel? E V S M U N/A

How responsive was the contractor in correcting performance problems? E V S M U N/A

For replacement personnel: On average were replacement personnel provided in a timely manner?

E V S M U N/A

During the course of performance were personnel out of work more than 5% of the number of contract work days?

E V S M U N/A

Comments: