Attachment_F-Past_Performance_Questionnaire_(Revision).pdf

AG-3144-S-15-0066

Revision 7/30/2015

PAST PERFORMANCE QUESTIONNAIRE

Uninterrupted Power Supply (UPS) Requirement

SOLICITATION AG-3144-S-15-0066

Instructions: Please complete this questionnaire and return directly to the Contracting Officer listed below via e-mail by 3PM MST 07 August 2015.

John Flores

Administrative Contracting Officer john.p.flores@ftc.usda.gov

Phone: 970-295-5294

2150 Centre Ave, Bldg A, Ste 145

Fort Collins, CO 80526

Please complete:

Evaluator’s Company

/Organization:

Name of Evaluator:

Duty Position/Title:

I. CONTRACTOR INFORMATION: Please complete the following questionnaire on the below-listed contractor who has provided services in the past or is currently providing services for your company/organization. If any information is incorrect or incomplete please provide the complete accurate information.

a. Contractor (Company/Name):

Point of Contact:

mailto:john.p.flores@ftc.usda.gov

b. Contractor Address:

Telephone:

c. Contract Information:

1. Number:

2. Type of Contract: Negotiated ___ Fixed Price ___ Cost Reimbursement ___ Hybrid (explain) _________________________________

3. Technical Complexity of Work: Routine ___ Difficult ___ Very Difficult ___

4. Period of Performance:

5. Total Contract Amount:

6. Services Provided (Explain, in some detail, the type of services provided by the contractor):

II. PERFORMANCE INFORMATION: When responding to the following statements, choose the quality of performance rating based on the corresponding adjective definitions described below. Assign the rating that most accurately describes the Contractor's performance under the subject contract effort. If the statement is not applicable to the circumstance of this contract effort, circle N/A. The numbers correspond with the following adjective ratings:

General Questions: THE CONTRACTOR…

1. Developed realistic delivery schedules, met established project schedules, and conformed to contract requirements.

E VG /A

S M N/A

U N/A N/A

QUALITY OF PERFORMANCE

Rating Description

EXCEPTIONAL (E) Performance meets contractual requirements and exceeds many to the customer's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD (VG) Performance meets contractual requirements and exceeds some to the customer's benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY (S) 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 appear or were satisfactory.

MARGINAL (M) 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. The contractor's proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY (U) 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 serious problem(s) for which the contractor's corrective actions appear or were ineffective.

UNKNOWN (N/A) Did not observe performance in this area.

COMMENTS/REMARKS:

2. Provided professional services/implementation staff with the technical and administrative abilities and experience needed to meet contract requirements.

Quality of Products and Technical Services: THE CONTRACTOR…

3. Provided timely and appropriate responses in writing to concerns raised by the customer.

4. Identified problems as they occurred. Suggested alternative approaches to problems. Contractor displayed initiative and innovative and cost-effective approaches to solve problems.

5. Requested additional or clarifying information at appropriate times to solve issues or challenges regarding contract performance, customer satisfaction or the Contracting Officer Technical

Representative’s needs:

6. Delivered products and/or services consistent with established customer expectations, and overall commitment to quality performance and customer satisfaction.

Timeliness of Performance: THE CONTRACTOR…

7. Provided requisite expertise resulting in the completion of tasks/milestones/deliverables within the established or set time schedules under the current contract:

8. Displayed skill in effectively allocating and directing personnel and resources to meet the customers’ needs, including contractor’s management, project supervision, and communications.

Summary Questions:

9. If provided the opportunity, would you work with this firm again?

YES NO NOT SURE

10. Please provide any additional comments or remarks you feel may be useful in evaluating the respective contractor below:

11. What would you assign as an overall rating?

Thank you for your time and effort in completing this Past Performance Questionnaire.