Attachment_2_-_Past_Performance_Questionnaire_1305M326Q0471_Falmouth_Freezer.docx

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Attached to
Replacement Walk-in Freezer System, Parts and Inst
Solicitation number
1305M326Q0471
Issued by

About this file

This is a Past Performance Questionnaire template for the Falmouth, MA Replacement Walk-in Freezer System solicitation (1305M326Q0471). The questionnaire is designed to be completed jointly by offerors and government assessors to evaluate contractor performance history on relevant past contracts. Offerors and their major subcontractors complete Sections I and II, providing contract details such as contractor name and address, contract number, contract type, contract value, period of performance, project description, contracting role (prime or subcontractor), and termination history. Government assessors—who may be Procuring Contracting Officers, Administrative Contracting Officers, Contract Specialists, Contracting Officers' Representatives, Technical Project Leads, Quality Assurance Specialists, DCAA Auditors, or other relevant personnel—verify the submitted information and complete Sections III and IV by identifying their role and involvement period.

The questionnaire requires assessors to assign an overall performance rating based on contract requirement fulfillment, quality and timeliness of delivery, cost management, communications, proactive management, and customer satisfaction. Rating options range from Exceptional (exceeds most requirements with few minor issues) to Unsatisfactory (does not meet requirements with serious problems), with intermediate categories for Very Good, Satisfactory, and Marginal performance, plus a Not Applicable option for irrelevant or outdated information. Completed questionnaires must be submitted to the Contracting Office at Jenna Taulman (jenna.taulman@noaa.gov), with offerors also providing copies of Sections I and II for all questionnaires with their proposals by the solicitation closing date. The questionnaire is designated as Source Selection Information for official use only.

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1305M326Q0471

ATTACHMENT #2

Past Performance Questionnaire

Instructions:

· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel, such as Contracting Officer, that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor to verify Sections I and II, and complete Section III and IV. After completion, please submit to the Contracting Office – Jenna Taulman at jenna.taulman@noaa.gov . The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: Jenna Taulman at jenna.taulman@noaa.gov

I. Solicitation Data (for the proposed effort)

Solicitation Number
1305M326Q0471
Project/Requirement
Falmouth, MA Replacement Walk-in Freezer System, Parts and Installation Project
Customer/Agency
NOAA ACGO, on behalf of the Northeast Fisheries Science Center

II. Current or Historical Contract Information

CONTRACTOR NAME & ADDRESS:

Contract No

Type of Contract

Initial
Final

Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role
☐ PRIME
☐ SUBCONTRACTOR
Termination History
☐ Convenience
☐ Default
☐ N/A

Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.

III. Assessor Information

Assessor Name

Title

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

✔
Role
Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Overall Performance Rating

Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.

EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE (N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Additional comments/notes:

Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only

File details come from the government source that posted it. Updated .