Att. B_Past and Present Performance Survey.pdf

A . B_Past and Present Performance Survey

Solicita on # 15A00024Q00000013

FOR OFFICIAL USE ONLY

PAST AND PRESENT PERFORMANCE SURVEY

C. Total Dollar Value w/ Modifica ons:$

11. Descrip on of Contract Service/Scope of Contract:

1. Contractor Name:

2. Contract Number:

3. Role on Project:

4. Contractor Address:

5. Contract Type:

Firm Fixed Price T&M/LH

6. Procuring Agency/Company Name:

7. Agency/Company POC:

Phone:

Email:

8. Period of Performance

9. A. Dollar Amount of Award: $ B. Annual Amount: $

10. Title of Contract

Cost Reimbursement Other (Please Specify)

FOR OFFICIAL USE ONLY

12. Complexity of Work:

13. Past Performance Evalua on Criteria Comments (Mandatory, A ach addi onal sheets, if necessary)

a. Quality of Service To Consider: * Contractor's ability to meet minimum quality standards specified for performance *Contractor's ability to effec vely control the quality of services provided *Contractor's compliance with contractual terms and condi ons

b. Timeliness of Performance To Consider: *Contractor's ability to meet specific response mes and scheduled meframes for comple on of specific tasks.

*Contractor's responsiveness/ meliness for providing administra ve reports/documenta ons required by contract.

*Contractor's meliness in responding to emergency services requirements.

c. Business Rela ons To Consider: * Contractor's ability to iden fy problems and poten al problems and promptly no fy the Contrac ng Officer

*Contractor's ability to correct problems and prevent or mi gate poten al problems in a mely manner.

*Contractor's willingness to improve and correct noncompliance issues or concerns.

*Contractor's ability to use effec ve approaches and provide technical exper se and resources to solve contract problems.

*Extent to which the contractor has demonstrated reasonable and coopera ve behavior.

*Contractor's working rela onship with the Contrac ng Officer, quality assurance personnel, and customers.

*Contractor's flexibility in sa sfying the requirements of its customers.

*Extent to which the contractor provided prompt and courteous service when responding to customer complaints.

d. Management Of Key Personnel To Consider: *Contractor's ability to select and retain coopera ve and effec ve key personnel, such as the contract manager and quality control personnel.

FOR OFFICIAL USE ONLY

*Extent key personnel were knowledgeable about contractual requirements.

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

e. Compliance with Environmental, Safety, Health, and Security Requirements

To Consider: *Has the contractor ever received any No ces of Viola ons for noncompliance with environmental laws or regula ons?

*Contractor's compliance with safety requirements.

*Contractor's compliance with security requirements.

f. Contractual Considera ons To Consider: *Has an election been made not to exercise an option or continue relations due to contractor's poor performance?

*Has a Contract Discrepancy Report ever been issued?

*Has a Cure No ce or Show Cause No ce ever been issued?

*Extent to which the contractor provided reliable, supportable cost es mates or proposals.

g. What Is Your Overall Assessment?

14. Would you select this contractor again? Please explain your reason:

15. Name:

Date:

16. Title: