Past Performance Questionnaire - Final.doc
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- Attached to
- USDA Forest Service National Tower IDIQ Federal contract opportunity
- Solicitation number
- AG-7604-S-12-0020
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Attachment 2
PAST PERFORMANCE QUESTIONNAIRE
Dated: 5/25/2012 Respondent, Please complete, as necessary, information in Parts I and II regarding you and the contract. Also, please complete Parts III and IV, evaluating the performance on the contract in those areas for which you have knowledge consistent with your role on the conduct of the contract. Do NOT include classified information in your response. At the end of the questionnaire please sign and date when completed.
I. RESPONDENT
Respondent’s Name and Title: (Provide contact information for two (2) points-of-contact including: Name and role/job of the points-of-contact, while associated with the project;Telephone number; andEmail address)
POC 1
POC 2
Agency/Company
Position on Contract
Mailing Address
Phone Number
Fax Number
Email Address
| Observed Period of Performance |
| From __/__/____ to __/__/____ |
II. CONTRACT INFORMATION
Contractor being rated
Prime Contractor if other than above
Contract Name/Title
Contract Number
Contract Type
Contract Value
Performance Based Contract (Y-N- Partial)
| Contract Award Date |
| __/__/____ |
| Contract Status |
| Active ______ Completed______ |
Contract Scope(Brief Description
| Contract Period of Performance |
| From __/__/____ to __/__/____ |
DUNS Number
Cage Code
III. EVALUATION
| CODE |
| PERFORMANCE LEVEL |
| B |
| BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| P |
| PURPLE/VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective |
| G |
| GREEN/SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory |
| Y |
| YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| R |
| RED/UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| N |
| NOT APPLICABLE - Unable to provide a score |
| Quality of Products and Construction Services |
| B |
| P |
| G |
| Y |
| R |
| N |
Q1-Was the Contractor’s management structure responsive, efficient and met company/agency needs?
Q2-Did the contractor deliver at the agreed-to price/cost?
Q3-How well did the contractor meet emergency requirements?
Q4-How well did the contractor identify inefficiencies that could adversely affect performance, and take corrective or preventive action to resolve problems?
Q5-How effective did the contractor use innovation and efficiencies to enhance contract performance and reduce cost?
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
| Schedule |
| B |
| P |
| G |
| Y |
| R |
| N |
S1-How pro-active and reasonable/cooperative was the Contractor?
S2-Did the contractor deliver according to the agreed-to schedule?
S3-What were the causes of any schedule variances?
S4-How well did the contractor meet response times?
S5 Was the contractor performance timely and did they meet contract schedule?
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
| Performance Requirements |
| B |
| P |
| G |
| Y |
| R |
| N |
P1-How well did the contractor team with their subcontractors?
P2-How would you rate the contractor’s workforce recruitment, training, qualification and certification programs during mobilization and transition?
P3-To what extent did the offeror meet the contract requirements (i.e. specifications, timelines)?
P4-Was the offeror able to respond effectively and efficiently to changing needs?
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
| Resource Management |
| B |
| P |
| G |
| Y |
| R |
| N |
R1-How would you rate the contractor’s ability to maintain/retain skilled workforce?
R2-How would you rate the contractor’s utilization of appropriately skilled employees, equipment and materials to accomplish work requirements?
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
| Customer Satisfaction |
| B |
| P |
| G |
| Y |
| R |
| N |
C1-How effective and professional was the Contractor in working and communicating with agency/customer personnel?
C2-Did the Contractor provide sufficient notification of contract problems to appropriate government personnel?
C3-Do you feel the quality of the services received was worth the cost/price?
C4-Was the contractor responsive to customer concerns and “user friendliness”?
C5-How effectively did the contractor provide customer support?
C6-How well did the customer manage the Help Desk?
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
| Overall Performance Assessment |
| B |
| P |
| G |
| Y |
| R |
| N |
O1-How effective and thorough was the Contractor in reporting on the Contract’s performance?
O2-Rate the value of the service your Agency/Business receives from the services provided by the offeror
Comments. In particular, please provide comments for each rating below Satisfactory. Please describe any problems the Contractor encountered, how they were resolved and how much Government assistance was required for their resolution.
IV: Summary Information
What were the Contractor’s greatest strengths in the performance of this contract?
What were the Contractor’s greatest shortcomings in the performance of this contract?
Would you have any reservations about using this Contractor in the future?
Signature of Respondent
Date Completed
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