Past PerformanceQuestionnaire.xls

XLS spreadsheet 28 KB Posted Dec 8, 2008

Attached to: Lodging for Boot Camp Participants
Solicitation number: AG-7482-S-09-0001
Issued by: Department of Agriculture National Resources Conservation Service

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Past Performance Questionnaire

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File	Type	Posted
Statement of Requirements.doc	DOC document	Dec 8, 2008

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Sheet1

PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection/best value analysis.
Please complete this Questionnaire and mail or send by email or fax to the following not later than close of business December 16, 2008:
US Department of Agriculture
Natural Resources Conservation Service
National Centers Servicing Unit
Attn: Management Services
501 W. Felix Street, FWFC, Bldg #23
Ft. Worth, TX 76115
FAX: 817-509-3594
Email: judith.weber@ftw.usda.gov
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY CONTRACTOR
1. Contractor Name & Address:		2. Contract Number:
		3. Contract Initiation Date:
		4. Completion Date:
		5. Contract Value:
		6. Type of Contract:
7. Description of Contract Requirements
Please add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. Evaluator's Name, Position (PCO/COTR/Other) and Address
b. Evaluator's Phone Number		c. Duration of business relations with named firm:
Please circle the response code which best reflects your experience with this contractor.
EX-Exceptional - Performance meets contractual requirements and exceeds many to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective action taken by the contractor were highly effective.
VG-Very Good - Performance meets contractual requirements and exceeds some to the Government'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.
S-Satisfactory - 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.
MG-Marginal - 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.
US-Unsatisfactory - Performance does not meet those 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.
Please provide comments to identify specific Strengths/Weaknesses in each area
A. Customer Relationship			EX VG S MG US N/O
	Cooperative Behavior		EX VG S MG US N/O
	Problem Resolution		EX VG S MG US N/O
	Commitment to Customer Satisfaction		EX VG S MG US N/O
	Responsiveness		EX VG S MG US N/O
B. Prior Experience
	Personnel Technical Knowledge in Subject		EX VG S MG US N/O
C. Adherence to Schedule
	Contractor Adherence to Scheduled Dates		EX VG S MG US N/O
D. Quality of Contractor's Team
	Thoroughness		EX VG S MG US N/O
	Accuracy (of product description and work)		EX VG S MG US N/O
	Overall Quality		EX VG S MG US N/O
9. Overall Assessment: (a) Exceptional (b) Very good (c) Satisfactory (d) Marginal (e) Unsatisfactory (f) Not Observed
10. Any unsatisfactory performance identified above has been shared with the contractor. ( ) Yes: written/oral ? ( ) No
Please provide comments to identify:
	a. Specific Strenghs/Weaknesses Related to Part 8 Above--Please Cite the Alpha-Numeric Code
	c. Any areas of performance that are most troublesome.
Please add a continuation page if necessary.

&R&"Arial,Bold"&8AG-7482-S-09-0001

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Sheet3

File details come from the government source that posted it. Updated Nov 14, 2017.