Attachment_1_-_Past_Performance_Questionnaire.doc
DOC document 95 KB Posted
- Attached to
- X-ray Diffraction analyses to determine mineralogy Federal contract opportunity
- Solicitation number
- 140G0223Q0163
About this file
This document is a past performance questionnaire for the solicitation numbered 140G0223Q0163 seeking X-ray diffraction analyses to determine mineralogy. The US Geological Survey Office of Acquisitions and Grants within the Department of the Interior is the contracting agency. The past performance questionnaire is to be completed by a vendor's references for prior contracts and submitted to the contracting officer no later than August 11, 2023. The questionnaire includes questions regarding the relationship with the client's contract team, corporate management and conduct, quality control, ability to meet schedules, any cure notices or termination issued, satisfaction with final products and services, and an overall rating. Responses are on a scale of outstanding, above average, satisfactory, marginal, or unacceptable. Space for additional comments is also provided.
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| File | Type | Posted |
|---|---|---|
| Sol_140G0223Q0163.pdf |
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Text version
ATTACHMENT 1
RFQ 140G0223Q0163
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
SUBMIT TO CLIENT REFERENCES FOR PAST PERFORMANCE
Items 1 and 2 below are to be completed by the Vendor. Then provide the entire questionnaire to your Past Performance Reference (i.e. your client’s Technical Manager, and Contracting Officer’s Representative). The Past Performance Reference is to complete Questionnaire Page 2 and forward all pages of the completed Past Performance Questionnaire to Lisa D. Williams, Contracting Officer, at ldwilliams@usgs.gov. Please ensure delivery no later than close of business 2:30 p.m. Mountain Daylight Time (MDT) on August 11, 2023.
1. Contractor Information
Project Title:
Location:
Description:
| Company Name: |
| Contract Number: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
2. Client/Agency Information
| Client/Agency Name: |
| Client/Agency POC: |
| Address: |
| POC Email: |
Ratings Overview
Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| Performance greatly exceeded the contract requirements. |
| “A” |
| Above Average |
| Performance exceeded the contract requirements. |
| “S” |
| Satisfactory |
| Performance met the contract requirements. |
| “M” |
| Marginal |
| Performance met the minimum contract requirements but |
Some material aspects of the contractor’s performance were less than satisfactory.
| “U” |
| Unacceptable |
| Performance was poor and/or did not satisfy contract requirements. |
Questionnaire
Please select the appropriate rating and provide supporting information for the following questions.
| 1. The relationship between the company and client’s/customer’s contract team: |
| O |
FORMCHECKBOX
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
2. Overall corporate management, integrity, reasonableness, and cooperative conduct:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
3. Quality control:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
4. Ability to meet the performance schedule:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes
No
6. Would you award another contract to the company being evaluated? If no, please explain:
Yes
No
| 7. Was the customer satisfied with the final product and services? If no, please explain: |
| Yes |
No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
Yes
No
9. Overall Rating
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
10. Comments
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