Attach 10 - Past Performance Questionnaire.pdf

Attachment 10: Past Performance Questionnaire (Solicitation Only)

SUBMIT TO CUSTOMERS FOR PAST PERFORMANCE:

PAST PERFORMANCE QUESTIONNAIRE

TO BE COMPLETED BY CLIENT'S TECHNICAL MANAGER or BUSINESS MANAGER or AGENCY'S CONTRACTING OFFICER REPRESENTATIVE (COR) or CONTRACTING OFFICER (CO) Please forward completed Past Performance Questionnaire (PPQ) to, Jerry G. Meeks Jr., Contract Specialist, at jerry.meeks@usda.gov Please ensure delivery no later than 12:00 PM, Central (CST), on July 21, 2023

1. Contractor Name: 2. Contract Number:

3. Contractor Address: 4. Contract Type:

____ Fixed-Price

____ Cost-Reimbursement

____ Other (Please Specify) ____________________

5. Client / Agency Name:

Address:

6. Client / Agency Point of Contact:

Name:

Title:

Phone:

E-mail Address:

7. Period of Performance: 8. Total Contract Value: $

9. Title of Project:

10. Please describe the work that was accomplished focusing on the scope and complexity of the work:

11. Please describe whether the work was defined by the owner via a specification, statement of work, statement of objectives, or some other document and whether the completion of the work was performance-based in nature.

12. Did the Contractor encounter any noteworthy problems performing work? ________ If so, Please explain:

mailto:jerry.meeks@usda.gov

Attachment 11: Past Performance Questionnaire (Solicitation Only)

NOTE: Please use adjectival ratings from attached sheet

13. Evaluation Factor 14. Comments (Attach additional sheets, if necessary.) 15. Rating

a. Quality of Services Received

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Financial Controls

16. Would selection of this firm by your organization be supportable in the future? Please explain. (Attach additional sheet if necessary.)

17a. Name of Preparer: 17b. Signature:

17c. Title: 17d. Date:

Attachment 11: Past Performance Questionnaire (Solicitation Only)

PAST PERFORMANCE RATING GUIDELINES

Summarize contractor performance in each of the rating areas. Assign each area a rating using the adjectival descriptors in the table below. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings Quality of Services Received / Personnel

-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence

Financial Controls

-Within budget -Current, accurate, complete billings -Relationship of negotiated prices to actual -Efficiencies -Change orders issued

Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time

Business Relations / Subcontractor Management

-Effective on-site management and personnel -Businesslike correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable / cooperative -Flexible -Proactive -Effective Small Business Subcontracting Program

Outstanding There are no quality problems

There are no Financial issues

There are no delays Response is effective

Excellent Nonconformance do not impact achievement of contract requirements

Financial issues do not impact achievement of contract requirements

Delays do not impact achievement of contract requirements

Response is usually effective

Satisfactory Nonconformance require minor agency resources to ensure achievement of contract requirements

Financial issues require minor agency resources to ensure achievement of contract requirements

Delays require minor agency resources to ensure achievement of contract requirements

Response is somewhat effective

Marginal Nonconformance require major agency resources to ensure achievement of contract requirements

Financial issues require major agency resources to ensure achievement of contract requirements

Delays require major agency resources to ensure achievement of contract requirements

Response is marginally effective

Unsatisfactory Nonconformance are comprising the achievement of contract requirements

Financial issues are comprising performance

Delays are compromising achievement of contract requirements

Response is not effective