Attachment 1 Past Performance Questionnaire.doc

DOC document 84 KB Posted Dec 5, 2024

Attached to: LEAD ABATEMENT BPA
Solicitation number: 040ADV-25-R-0004
Issued by: Government Publishing Office

About this file

Written by GovTribe AI · Dec 5, 2024

This is a Past Performance Questionnaire template that contractors must submit to the U.S. Government Publishing Office (GPO) Acquisition Services by December 19, 2024 at 15:00 AM. The questionnaire is related to a lead abatement Blanket Purchase Agreement (BPA) opportunity.

The template includes sections for both contractor and evaluator completion. The contractor must provide details about their company, project name, contract number, period of performance, contract value, and project characteristics. The evaluator portion requires ratings across nine performance areas using a scale from Exceptional to Unsatisfactory: quality of products/services, overall performance, schedule adherence, technical requirements, cost control, subcontracting compliance, customer satisfaction (both routine and unexpected matters), and likelihood of repeat business. The completed questionnaire is considered source selection sensitive information and must be submitted via email to tmizelle@gpo.gov and jwebb@gpo.gov.

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Questions and Responses to Solicitation _ LEAD ABATEMENT BPA.xlsx	XLSX spreadsheet	Dec 12, 2024
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SOLICITATION BPA LEAD ABATEMENT 040ADV-25-R-0004.pdf	PDF	Dec 5, 2024

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Attachment 1 Past Performance Questionnaire

Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this questionnaire and send by email to: tmizelle@gpo.gov and jwebb@gpo.gov

U.S. Government Publishing Office Acquisition Services

732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401 Response Due Date December 19, 2024 at 15:00 AM

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. CONTRACTOR’S NAME AND ADDRESS

3. CONTRACT NO.:

CONTRACT DATE:

4. PERIOD OF PERFORMANCE:

4. PACE OF PERFORMANCE:

5. COMPLETION DATE:

6. CONTRACT VALUE $

2. PROJECT NAME:

7. TYPE OF CONTRACT:

8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:

EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)

EVALUATOR’S PHONE NUMBER

MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please check the response code for each topic that best reflects your experience with this Contractor:

EX = Exceptional VG = Very Good S = Satisfactory MG = Marginal US = Unsatisfactory N/O = Not Observed

Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.

FORMCHECKBOX

N/O

Overall Performance- Assess the Contractor’s overall performance for the project.

FORMCHECKBOX

N/O

Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).

FORMCHECKBOX

N/O

Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.

FORMCHECKBOX

N/O

Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.

FORMCHECKBOX

N/O

Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.

FORMCHECKBOX

N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.

FORMCHECKBOX

N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.

FORMCHECKBOX

N/O

Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.

FORMCHECKBOX

N/O

List Contractor’s Weak Points:

List Contractor’s Strong Points:

List any other projects this Contractor has completed for you:

If an award fee contract, what was the average award fee % earned?

File details come from the government source that posted it. Updated Dec 5, 2024.