Attachment 02 PAST PERFORMANCE QUESTIONAIRE N4019221Q4202.pdf

S-17.2.20 Commercial Items (Rev. MAR 2017) Page 9 of 12

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION NUMBER: N40192-21-Q-4202

The contractor listed below is being considered for award of NAVAL BASE CHAPEL NON-

PERSONAL SERVICES FOR DIRECTOR OF MUSIC. It would be appreciated if you would provide us with comments regarding the contractor’s past performance. Your comments are considered sensitive, therefore, you are advised that the Federal Acquisition Regulations

(15.306(e)(4)) prohibits the release of names of individuals providing reference information about an offeror’s past performance. In order to maintain the integrity of the selection process, we respectfully request that you not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals.

Please email this form to: DANTE.SERNEO@FE.NAVY.MIL and

FLORENCE.GARRIDO@FE.NAVY.MIL

Past Project Information:

1. Contractor:

2. Project title/contract number:

Evaluator: (the following information will assist in the analysis of the data. Information will be kept confidential)

1. Name: Date:

2. Phone No.: Fax No.

3. Address:

4. Position held or function in relation to project:

Ratings:

Please evaluate the contractor’s performance using the following ratings:

“O” Outstanding: The contractor’s performance clearly exceeded the contract requirements.

“S” Satisfactory: The contractor’s performance met the contract requirements.

“M” Marginal: The contractor’s performance met the minimum contract requirements but with difficulty.

“U” Unsatisfactory: The contractor’s performance was poor and/or did not satisfy contract requirements.

mailto:DANTE.SERNEO@FE.NAVY.MIL mailto:FLORENCE.GARRIDO@FE.NAVY.MIL

S-17.2.20 Commercial Items (Rev. MAR 2017) Page 10 of 12

Please rate and provide any supporting information for the following: (Use additional sheets as needed)

1. The relationship between the contractor and owner’s contract team.

Rating

2. The contractor’s on-site management and coordination of subcontractors.

3. The contractor’s overall corporate management, integrity, reasonableness and cooperative conduct.

4. The contractor’s performance on delivery of quality work.

5. The contractor’s quality control (CQC):

6. The contractor’s ability to meet the performance schedule.

7. What did the contractor do to improve schedule problems, if any?

S-17.2.20 Commercial Items (Rev. MAR 2017) Page 11 of 12

8. The contractor’s ability to provide the required work at a reasonable total price.

9. The contractor’s compliance with labor standards, if applicable.

10. The contractor’s compliance with safety standards and/or number of incidents.

11. Has the contractor been given any of the following: Cure notice, show cause, letters of reprimand, suspension of payments, terminations? If yes, please explain.

12. Would you award another contract to this contractor? If no, please state reasons for not recommending this contractor additional work.

13. Was the customer satisfied with the end product?

14. Has the contractor been provided an opportunity to discuss any negative performance ratings? If so, what were the results?

15. Overall rating Rating:

Please provide any additional comments: