ATCH 3 - Past and Present Performance Survey.pdf

Attachment 5 - 15A00026R00000014

PAST AND PRESENT PERFORMANCE SURVEY

FOR OFFICIAL USE ONLY (When Filled In)

A. GENERAL INFORMATION:

Contractor’s Name:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror:

Contract Dollar Amount: $

Types of work performed:

Contract Period or Dates of Performance Provided by Offeror:

Contractor performed as the (1) Prime Contractor (2) Sub-Contractor

B. RESPONDENT INFORMATION (Point of Contact, Agency and Address):

POC Name:

Address:

Agency:

Phone: Fax: ______________ Email Address:

C. EMAIL COMPLETED SURVEY FORM TO: Completed forms should be emailed directly to amanda.boshears@atf.gov by the date and time in Block 8 of the SF- 1449 RFP document and should not be returned to the contractor.

D. PERFORMANCE INFORMATION: Choose the letter on the scale that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE

NARRATIVE EXPLANATION FOR UNACCEPTABLE RATING.

Unacceptable (U) Acceptable (A) Performance did not meet contractual requirements. Performance met contract requirements.

QUALITY OF SERVICE (Circle Response)

1 Contractor's ability to meet minimum quality standards specified for performance U A

2 Contractor's ability to effectively control the quality of services provided U A

3 Contractor's compliance with contractual terms and conditions U A

4 Overall rating of contractor's quality of service U A

TIMELINESS OF PERFORMANCE (Circle Response)

1 Contractor's ability to meet specific response times and scheduled timeframes for completion of specific tasks. U A

2 Contractor's responsiveness/timeliness for providing administrative reports/documentations required by contract. U A

3 Contractor's timeliness in responding to emergency services requirements. U A

4 Overall rating of contractor's responsiveness/timeliness. U A BUSINESS RELATIONS (Circle Response)

1 Contractor's ability to identify problems and potential problems and promptly notify the Contracting Officer U A

2 Contractor's ability to correct problems and prevent or mitigate potential problems in a timely manner. U A

3 Contractor's willingness to improve and correct noncompliance issues or concerns. U A

4 Contractor's ability to use effective approaches and provide technical expertise and resources to solve contract problems. U A

5 Extent to which the contractor has demonstrated reasonable and cooperative behavior. U A

6 Contractor's working relationship with the Contracting Officer, quality assurance personnel, and customers. U A

7 Contractor's flexibility in satisfying the requirements of its customers. U A

8 Extent to which the contractor provided prompt and courteous service when responding to customer complaints. U A

9 Overall rating of business relations. U A

MANAGEMENT OF KEY PERSONNEL (Circle Response)

1 Contractor's ability to select and retain cooperative and effective key personnel, such as the contract manager and quality control personnel. U A

2 Extent key personnel were knowledgeable about contractual requirements. U A

3 Contractor's ability to meet appropriate staffing levels with qualified personnel in order to provide required services. U A

4 Overall rating of contractor's management of key personnel. U A

COMPLIANCE WITH ENVIRONMENTAL, SAFETY, HEALTH, AND SECURITY REQUIREMENTS (Circle Response)

1 Has the contractor ever received any Notices of Violations for noncompliance with environmental laws or regulations? YES NO

2 Contractor's compliance with safety requirements. U A

3 Contractor's compliance with security requirements. U A

CONTRACTUAL CONSIDERATIONS (Circle Response)

1 Has an election ever been made not to exercise an option or continue relations due to contractor's poor performance? YES NO

2 Has a Contract Discrepancy Report ever been issued? YES NO

3 Has a Cure Notice or Show Cause Notice ever been issued? YES NO

4 Extent to which the contractor provided reliable, supportable cost estimates or proposals. U A

5 Overall rating of contractor's performance under this contract. U A

6 Would you hire this contractor again? YES NO

WHAT IS YOUR OVERALL ASSESSMENT OF

PAST PERFORMANCE? (Circle Response) U A