Atch 3 Past Perf Questionaire.docx

PAST PERFORMANCE QUESTIONNAIRE

4 CONS/PKA

SOLICITATION NO.: FA480925Q0003

VERTICAL TRANSPORTATION EQUIPMENT (VTE) SERVICES

Please complete one questionnaire for every contract submitted as past performance.

This Questionnaire is provided for Company Name:

This Questionnaire is completed by Company Name:

Contract Number:

Contracting Officer Name:

Contract Name/Reference Number:

Description of contract scope:

CONTRACTOR PERFORMANCE QUESTIONNAIRE

Project Name: ___________________________________________________

UNIT/COMPANY NAME:

CONTRACT/REFERENCE NUMBER:

PERFORMANCE INFORMATION: When responding to the following statements, choose the letter(s) on the scale, which most accurately describes the contractor’s performance. Comment or remark sections are highly encouraged to be filled out. The numbers correspond to the following ratings:

(6) Exceptional Performance meets contractual requirements and exceeds many requirements. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

(5) Very Good Performance meets contractual requirements and exceeds some requirements. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(4) Satisfactory Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(3) Neutral No performance record identifiable (see FAR 15.305(a)(2)(iii) and (iv)

(2) Marginal Performance does not meet some contractual requirements. The contractual performance being assessed 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.

(1) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

(N/A) Not Applicable Did not apply to this acquisition, or questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

For any neutral, marginal, or unsatisfactory rating please provide explanatory narratives in the remarks block. You are encouraged to add your comments on exceptional or very good performance that would assist us in our evaluation. These narratives need not be lengthy, just detailed. Space for narrative comments is included on the last page of survey. If more space is needed attach additional pages.

A. QUALITY CONTROL

1. Describe the quality of workmanship, adequacy contractor's quality control plan, documentation and implementation of their quality plan?

COMMENTS/REMARKS

2a. Was identification/correction of deficient work accomplished in a timely manner?

COMMENTS/REMARKS

2b. Were suggested solutions adequate and did the contractor display initiative to implement solutions?

COMMENTS/REMARKS

3. How well did the contractor provide effective quality control resulting in a quality service?

COMMENTS/REMARKS

4. Rate the contractor's overall quality control?

COMMENTS/REMARKS

B. TIMELY PERFORMANCE

1. How would you describe the contractor’s timeliness/effectiveness of contract problem resolution without extensive customer guidance?

COMMENTS/REMARKS

2. Rate how Contractor implemented responsive flexible processes to improve quality and timeliness of service?

COMMENTS/REMARKS

3. Was the required performance of the contract consistently met in a timely manner?

COMMENTS/REMARKS

4. Were required contract documentation and responses to contracting officers requests submitted in a timely manner?

COMMENTS/REMARKS

5. Rate the contractor's overall timeliness of performance?

COMMENTS/REMARKS

C. MANAGEMENT EFFECTIVENESS

1. How well did the contractor provide experienced managers and supervisors that possessed the technical and administrative abilities needed to meet contract requirements?

COMMENTS/REMARKS

2. The contractor cooperated to resolve problems by attending meetings,(as applicable). How were communications maintained to assure satisfactory resolution?

COMMENTS/REMARKS

3. The contractor provided proposals that accurately represented the work required?

COMMENTS/REMARKS

4. Rate how accurate, complete and reasonable supporting price/cost information was provided for modifications (not over inflated or under estimated)?

COMMENTS/REMARKS

5a. How well did the Contract Manager ensure compliance with contract requirements and safety regulations?

COMMENTS/REMARKS

5b. How well did they act promptly to resolve problems and ensure work quality?

COMMENTS/REMARKS

6a. Did the Contract Manager have sufficient authority to make decisions or take action during project performance?

COMMENTS/REMARKS

6b. Were they consistently present on site, as required, while work was being performed?

COMMENTS/REMARKS

7. How reasonable and cooperative was the Contractor in dealing with your staff (including the ability to successfully resolve disagreements/disputes)?

COMMENTS/REMARKS

8. How was the overall Management/Effectiveness of the performance?

COMMENTS/REMARKS

D. CUSTOMER SATISFACTION OVERALL

1. How long have you received this type of service from the contractor?

Years

Months

COMMENTS/REMARKS

2. How would you describe your customer’s overall satisfaction with the contractor?

COMMENTS/REMARKS

3. How would you describe the contractor's fulfillment of all requirements in your contract?

COMMENTS/REMARKS

4. Has the contractor ever given inadequate service, that wasn’t re-performed satisfactorily? If yes, please comment?

COMMENTS/REMARKS

5. Overall, describe the contractor’s performance.

☐ I would enter into another contract with this contractor.

☐ I might enter into another contract with this contractor.

☐ I would not enter into another contract with this contractor.

ADDITIONAL COMMENTS:

Once Completed, this document is considered

SOURCE SELECTION SENSITIVE MATERIAL

IAW Source Selection Information FAR 2.1 and 3.104

Attachment 3 – Past Performance Questionnaire Page 2 of 8