Attachment 0002 - Past Performance Assessment Questionnaire.pdf

36C10B22R0002 – Section 508 Accessibility Compliance Software Solution and Support

PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE

Please provide your candid responses. The information you provide will be used in the awarding of federal contracts; therefore it is important your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Prime Offeror:

POC Name:

POC Title:

Date:

POC Telephone Number:

POC FAX Number:

POC Address:

E-mail Address:

PART II. EVALUATION (TO BE COMPLETED BY POINT OF CONTACT –

RESPONDENT)

Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

Meets Contractual Requirements Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

Comments:

Exceptional (Explanation must be provided in Comments field below) Satisfactory Unsatisfactory (Explanation must be provided in Comments field below)

Not a performance based contract

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship.

B. Effectiveness of Project Management (to include use and control of subcontractors).

C. If this was a performance based contract, how well did the contractor perform against the contract metrics?

Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

Meets Contractual Requirements Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

E. Timeliness of Performance for Services and Product Deliverables, including the Administrative Aspects of Performance.

F. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest.

D. Rate the contractor’s ability to identify and mitigate risks.

Extremely Satisfied (Explanation must be provided in Comments field below)

Satisfied Unsatisfied (Explanation must be provided in Comments field below)

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

G. Overall Satisfaction.

H. General Comments. Provide any other relevant performance information:`

I. Other Information Sources. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

Fax Number:

E-mail Address:

J. Respondent Identification. Please provide the following information: