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PAST PERFORMANCE QUESTIONNAIRE
SOURCE SELECTION SENSITIVE WHEN COMPLETED
**NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS**
The U.S. Forest Service, Geospatial Technology and Application Center (GTAC) is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.
Past Performance Information:
| Name and Address of Firm Being Evaluated: | _____________________________________________ | |
| | _____________________________________________ |
| | _____________________________________________ |
Contract No.:________________________ Type of Contract:_______________________________ Project Title:_________________________ Date of Award:_______________________ Completion Date:_______________________________ Location:____________________________ Initial Amount:_______________________ Final Amount:__________________________________ Description:__________________________________________________________________________________________________
Evaluator: (The following information will assist in the analysis of the data)
Name of Evaluator:__________________________________________________________ Company/Agency Name:______________________________________________________ Address:___________________________________________________________________ Phone Number:_____________________________________________________________ Email Address:______________________________________________________________ Position Held or Function in Relation to Project:
Rating: If the rating is “Unacceptable”, please provide information in the appropriate block or in the remarks section of this form.
| “O” | Outstanding | Performance greatly exceeded the contract requirements. | |
| “G” | Good | Performance exceeded the contract requirements. | |
| “A” | Acceptable | Performance met the contract requirements. | |
| “M” | Marginal | Performance met the minimum contract requirements but some material aspects of the contractor’s | |
| | | performance were less than satisfactory. |
| “U” | Unacceptable | Performance was poor and/or did not satisfy contract requirements. | |
| Please circle the appropriate rating and provide any supporting information for the following: | | |
| 1 |
| The relationship between the firm and client’s/customer’s contract team: |
| O G A M U N/A |
| 2 |
| The firm’s management and coordination of subcontractors/consultants: |
| O G A M U N/A |
| 3 |
| Overall corporate management, integrity, reasonableness and conduct: |
| O G A M U N/A |
| 4 |
| Timeliness/quality of reports, deliverables and required submittals/documents: |
| O G A M U N/A |
| 5 |
| The firm’s business integrity: |
| O G A M U N/A |
| 6 |
| Responsiveness to client/customer’s requirements: |
| O G A M U N/A |
| 7 |
| Ability to control costs and provide the required work at a reasonable total price: |
| O G A M U N/A |
| 8 |
| Contract Compliance: |
| O G A M U N/A |
| 9 |
| Contract Management: |
| O G A M U N/A |
| 10 |
| Compliance with safety standards and/or number of safety related incidents, code compliance, as applicable: |
| O G A M U N/A |
| 11 |
| Performance of Public Relations related to Geographic Information Systems: |
| O G A M U N/A |
| 12 |
| Quality Control Procedures: |
| O G A M U N/A |
| 13 |
| Experience providing Geospatial Analysis from varying data sources to produce products, processes and reports : |
| O G A M U N/A |
| 14 |
| Experience providing Mapping Assessment and Monitoring for remote sensing and other GIS related data: |
| O G A M U N/A |
| 15 |
| Experience providing Geospatial Data Management for both geospatial and tabular data, publishing and optimizing map services: |
| O G A M U N/A |
| 16 |
| Experience providing Oracle, SQL Server, and Spatial Database Administration: |
| O G A M U N/A |
| 17 |
| Experience providing Geospatial Web Hosting Administration: |
| O G A M U N/A |
| 18 |
| Experience providing Geospatial Web and Mobile Application and Tool Development utilizing programming expertise and website support: |
| O G A M U N/A |
| 19 |
| Experience providing Cartographic Services and Products and producing both digital and hardcopy for maps, graphs, displays, and web map services: |
| O G A M U N/A |
| 20 |
| Experience providing Graphic User Interface (GUI) Design that maintains customer requirements and workflows: |
| O G A M U N/A |
| 21 |
| Experience providing Geospatial Training Development and Instruction: |
| O G A M U N/A |
| 22 |
| Experience providing Project Management and Reporting maintaining task cost, schedule, and issues while maintaining project scope and specifications: |
| O G A M U N/A |
| 23 |
| Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes please explain: |
| Yes No |
| 24 |
| Would you award another contract to the firm being evaluated: If no, please explain: |
| Yes No |
| 25 |
| Was the customer satisfied with the end product? If no, please explain: |
| Yes No |
| 26 |
| Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results? |
| Yes No |
| 28 |
| Overall rating for this firm: |
| O G A M U N/A |
Printed Name of Evaluator
| _______________________________________________________ | __________________________ | |
| Signature of Evaluator | | Date |
Please return this questionnaire to the US Forest Service via email to Mary Shinney at mshinney@fs.fed.us.
Department of Agriculture Forest Service