Past_Performance_Survey_Attachment_3.doc

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Attached to
Satellite Imagery Acquisition, Archiving, Processing, Distribution and Management of Decision Support Systems Federal contract opportunity
Solicitation number
AG-3151-S-13-0009
Issued by
Department of Agriculture Farm Service Agency Washington Office

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Past Performance Survey (Word Version)

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Attachment 4

PAST PERFORMANCE EVALUATION SURVEY

Satellite Imagery Acquisition, Archiving, Processing, Distribution and Management of Decision Support Systems

Solicitation: AG-3151-S-13-0009

PLEASE EMAIL OR FAX WITHIN 2 DAYS OF RECEIPT TO: US DEPT OF AGRICULTURE

ATTN: Jeffrey McRae

EMAIL: Jeffrey.Mcrae@wdc.usda.gov FAX # 202-690-3320 or 1626

FROM: (Offeror shall insert name, title, and address of reference)
DATE SURVEY COMPLETED:

1. NAME AND ADDRESS OF OFFEROR (TO BE COMPLETED BY OFFEROR):

2. CONTRACT NUMBER OR IDENTIFIER TYPE OF CONTRACT* AWARD DATE COMPLETION DATE VALUE

*INCLUDE ALL THAT APPLY: FIRM-FIXED PRICE (FFP); FIXED-PRICE, ECONOMIC PRICE ADJUSTMENT (FP-EPA); COST-PLUS-FIXED-FEE (CPFF), COMPLETION OR TERM; COST-PLUS-INCENTIVE-FEE (CPIF); COST-PLUS-AWARD -FEE (CPAF) ; COST; COST-SHARING; INDEFINITE DELIVERY/INDEFINITE QUANTITY (IDIQ); BASIC ORDERING AGREEMENT (BOA); FEDERAL SUPPLY SCHEDULE; REQUIREMENTS; LABOR HOUR; TIME AND MATERIALS (T&M); OTHER

3. DESCRIPTION(S) OF PRODUCTS OR SERVICES PROVIDED:

4. USING THE ATTACHED PERFORMANCE RATING GUIDELINES CHART, PLEASE RATE THE COMPANY LISTED IN 1 ABOVE ON THE CONTRACTS/PROJECTS LISTED IN 2 ABOVE. PROVIDE COMMENTS FOR RATINGS OF EXCELLENT, POOR, OR UNSATISFACTORY

4a. QUALITY OF PRODUCTS AND SERVICES

FORMCHECKBOX

Outstanding FORMCHECKBOX Excellent FORMCHECKBOX acceptable FORMCHECKBOX marginal FORMCHECKBOX Unacceptable Comments:

4b. TIMELINESS OF PERFORMANCE:

FORMCHECKBOX

Outstanding FORMCHECKBOX Excellent FORMCHECKBOX acceptable FORMCHECKBOX marginal FORMCHECKBOX Unacceptable Comments:

4c. COST CONTROL

FORMCHECKBOX

Outstanding FORMCHECKBOX Excellent FORMCHECKBOX acceptable FORMCHECKBOX marginal FORMCHECKBOX Unacceptable Comments:

4d. BUSINESS RELATIONS:

FORMCHECKBOX

Outstanding FORMCHECKBOX Excellent FORMCHECKBOX acceptable FORMCHECKBOX marginal FORMCHECKBOX Unacceptable Comments:

5. WOULD YOU SELECT THIS FIRM AGAIN AND WHY? PLEASE INCLUDE COMMENTS REGARDING ANY SPECIFIC KEY PERSONNEL ON YOUR CONTRACT(S) THAT ARE RELEVANT. ATTACH ADDITIONAL SHEET IF NECESSARY.

6a. PRINTED/TYPED NAME AND SIGNATURE OF PREPARER OF SURVEY RESPONSE:

6b. TELEPHONE NUMBER:

PERFORMANCE RATING GUIDELINES

IF A FACTOR IS NOT APPLICABLE (FOR EXAMPLE, COST CONTROL ON A FIXED-PRICE CONTRACT), THEN MARK THAT FACTOR AS n/a IN THE COMMENTS ON THE RATING SHEET.

MEASUREMENT CATEGORIES AND APPROPRIATE CRITERIA
QUALITY OF PRODUCTS AND SERVICES

-Compliance with contract requirements

-Accurate reporting

-Use of appropriate personnel

-Technical excellence

TIMELINESS OF PERFORMANCE

-Performance milestones & delivery schedules reliably met

-Responsive to technical direction

-Timely completion, including wrap-up & contract admin.

-No liquidated damages

COST CONTROL

-Performance within budget/targeted costs

-Current, accurate and complete billings

-Actual costs in line with negotiated costs

-Cost efficient

-No change orders due to poor cost control

BUSINESS RELATIONS

-Effective management

-Businesslike communications

-Prompt notification of problems

-Reasonable, cooperative, flexible, pro-active

-Effective small/small disadvantaged business subcontracting

OUTSTANDING
There were no quality problems.
There were no delays.
There were no cost issues
Responses to inquiries and technical/service issues were consistently effective and responsive.
EXCELLENT
Non-conformances had no effect on achievement of contract requirements.
Delays had no effect on achievement of contract requirements.
Cost issues had no effect on achievement of contract requirements.
Responses to inquiries and technical/service issues was usually effective and responsive.
ACCEPTABLE
Non-conformances required minor resources to ensure achievement of contract requirements.
Delays required minor resources to ensure achievement of contract requirements.
Cost issues required minor resources to ensure achievement of contract requirements.
Responses to inquiries and technical/service issues were occasionally effective and responsive.
MARGINAL
Non-conformances required significant resources to ensure achievement of contract requirements.
Delays required significant resources to ensure achievement of contract requirements.
Cost issues required significant resources to ensure achievement of contract requirements.
Responses to inquiries and technical/service issues were marginally effective and responsive.
UNACCEPTABLE
Non-conformances compromised achievement of contract requirements.

Delays compromised compliance with contract requirements.

Cost issues compromised achievement of contract performance requirements.
Responses to inquiries and technical/service issues were consistently ineffective and unresponsive.

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