4_Past_Performance_Questionnaire_15-0020.docx
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- Human Resource Management Support Services
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- AG-3187-S-15-0020
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Past Performance Questionnaire
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SOURCE SELECTION INFORMATION
AG-3187-S-15-0020
Attachment 4
PAST / PRESENT PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
Please return this completed questionnaire by 15 April 2015 via email to Todd Mathie at tmathie@fs.fed.us.
SECTION 1: CONTRACT IDENTIFICATION
| A. |
| Contractor: |
| B. |
| Contract number: |
| C. |
| Contract type: |
| D. |
| Was this a competitive contract? |
| E. |
| Period of performance: |
| F. |
| Place of performance: |
| G. |
| Contract Value: |
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
| A. |
| Customer or Agency Name: |
| B. |
| Evaluator's Name: |
| C. |
| Evaluator's Title: |
| D. |
| Evaluator's Phone: |
| E. |
| Evaluator's E-mail: |
SECTION 3: EVALUATION RATINGS
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each performance category.
| E |
| EXCEPTIONAL |
| The contractor has substantially exceeded the contract performance requirements. |
| VG |
| VERY GOOD |
| There are no, or very minimal issues and the contractor has met the contract requirements. |
| S |
| SATISFACTORY |
| Overall compliance requires minor agency resources to ensure achievement of contract requirements. |
| M |
| MARGINAL |
| Overall compliance requires significant agency resources to ensure achievement of contract requirements. |
| U |
| UNSATISFACTORY |
| Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery will not be likely. If performance cannot be substantially corrected, it will constitute a significant impediment in consideration for future awards for similar requirements. |
| N |
| NOT APPLICABLE |
| Unable to provide a score. |
SECTION 4: EVALUATION FACTORS
| 1. Ratings |
| E |
| VG |
| S |
| M |
| U |
| N |
Quality of Service.
Effectiveness of Meeting Schedule.
Cost Control.
Business Relations.
Management of Key Personnel
SECTION 5: NARRATIVE SUMMARY
1. Was the scope of this contract for core Human Resource Management Functional Areas?
2. Would you hire this contractor in the future to perform one of your critical and demanding projects? programs?
3. Please provide any additional comments concerning this contractor’s performance, as desired.
| _____________________________________ | _____________________ | |
| Evaluator’s Signature | Date |
Thank you for your assistance!
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