Attachment_18_-_Past_Performance_Questionnaire.pdf

NOTICE TO CONTRACTOR

INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS INTENDED FOR USE AS A SOURCE

SELECTION INFOMRATION AND AS SUCH IS DEEMED SOURCE SELECTION SENSITIVE.

STATEMENTS OR COMMENTS PROVIDED IN THE QUESTIONNAIRE DO NOT SIGNIFY AN

EXPRESS OR IMPLIED ENDORSEMENT OF ANY PRODUCT, SUPPLY, SERVICE, OR ENTERPRISE.

THIS INFORMATION SHALL NOT BE CONSRUED AS AN ENDORSEMENT BY THE GOVERNMENT

OR ITS EMPLOYEE(S) OF THE CONTRACTOR FOR ADVERTISING PURPOSES OR IN A MANNER

THAT IMPLIES THE CONTRACTOR, ITS PRODCUTS, OR SERVICES, ARE APPROVED, ENDORSED,

OR CONSIDERED BY THE GOVERNMENT TO BE SUPERIOR TO OTHER PRODUCTS OR SERVICES.

THE CONTRACT SHALL NOT BE PERMITTED TO USE ANY INFORMATION PROVIDED IN THIS

QUESTIONNAIRE TO PUBLICIZE, OR OTHERWISE CIRCULATE, PROMOTIONAL MATERIALS THAT

STATE OR IMPLY GOVERNMENTAL, ORGANIZATIONAL, GROUP, EXPERT, OR INDIVIDUAL

ENDORSEMENT OR CONSUMER TESTIMONIAL OF A PRODUCT, SERVICE, OR POSITION WHICH

THE CONTRACTOR REPRESENTS.

PAST PERFORMANCE QUESTIONNAIRE – Preventative Maintenance on Alcatraz Island Golden Gate National Recreation Area Contract Information: Please complete the following information on the contractor that provided, or is currently providing, services for your company.

a. Contractor’s Name/Address/Phone:

b. Contract Number:

c. Program Title:

d. Contract Type: Firm-Fixed-Price Indefinite-Delivery/Indefinite Quantity Cost-Reimbursement

e. Period of Performance:

f. Base Period Contract Dollar Value:

g. Total Contract Dollar Value (including all option periods):

h. Description of service provided:

II. Performance Information: Please indicate your satisfaction with the contractor’s performance by circling the appropriate rating using the scale provided. For unacceptable ratings, please comment on how the contractor failed to meet your requirement. If the contractor had problems in a specific area, but you determined them to have no impact on the mission, please specify this in your narrative remarks. If the statement is not applicable, check “unknown”.

When responding to this questionnaire please use the following definitions as a guide:

A- ACCEPTABLE (SATISFACTORY) - Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown (see Note below).

U- UNACCEPTABLE (UNSATISFACTORY) – Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.

QUALITY

With respect to past performance, the evaluators will be assessing quality of performance. Therefore, it is extremely important that personnel contacted for past-performance information provide comprehensive information supporting assessments of quality, timeliness, customer satisfaction and cost control. It shall be insufficient on its face to just mark a block in support of a grade or score for past performance. Again, please be specific.

The contractor completed or complied with all aspects of the contract for the following items:

Contractor provided adequately trained and professional personnel

Acceptable Unacceptable Unknown

Comments:

Did contractor have an effective quality control program to ensure contract compliance?

Did contractor demonstrate the ability to correct discrepancies in contract performance. Did the contractor self-identify discrepancies and correct them in accordance with their Quality Control Procedures?

TIMELINESS

Did the contractor provide timely, effective response to problems without excessive government involvement?

CUSTOMER SATISFACTION

Did the contractor provide experienced/qualified management personnel to meet contract requirements?

Did the contractor demonstrate the ability to identify and correct weaknesses in management (relative to contract, personnel - ie. quantity and/or quality), planning/ scheduling, and quality of service?

Administrative reports/documents were received in accordance with contract requirements

Contractor cooperated to resolve problems, contractually or otherwise, attended meetings and maintained communication to assure satisfactory resolution

Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied? Yes (please explain) No

Based on your judgment of the contractor’s performance, would you award the contractor another Government contract? Yes No (please explain)

Please rate the overall consistency and reliability of the contractor’s performance.

Please rate overall customer satisfaction with the contractor's performance.

Narrative:

III. Evaluator Information: The following information will help us track the responses received, as well as resolve whatever differences may arise between your perception of the contractor’s performance and the contractor’s perception of their performance information revealing the individual completing the form will NOT be released to the contractor by the Government.

a. Evaluator’s Name:

b. Title:

c. Telephone Number:

d. Organization, Office Symbol, and Address:

e. Length of involvement in the contract:

f. Date of questionnaire completion:

Please email your completed questionnaire by Friday, October 20 at 2:00pm Pacific Time to Liset Gomez at Liset_Gomez@nps.gov.