Attachment 2-Past Performance Questionnaire.pdf

FOR OFFICIAL USE ONLY

M67854-22-R-7204

PAST PERFORMANCE QUESTIONNAIRE

SECTION I: CONTRACT IDENTIFICATION (To be filled out by Vendor)

1. CONTRACTOR’S NAME & ADDRESS:

2. CAGE CODE OF PRIME CONTRACTOR:

3. CONTRACT NUMBER (include task number applicable):

4. AWARD ENVIRONMENT:

COMPETETIVE

NON-COMPETITIVE

5. CONTRACT TYPE:

FIRM FIXED PRICE

COST OR COST SHARING

LABOR HAOR

TIME & MATERIALS

OTHER______________________

6. PERIOD OF PERFORMANCE (include options):

7. INITIAL CONTRACT VALUE (include options): 8. CURRENT/FINAL CONTRACT VALUE (include options):

9. REASONS FOR DIFFERENCES BETWEEN INITIAL CONTRACT VALUE AND FINAL CONTRACT VALUE:

10. DESCRIPTION OF PRODUCTS/SERVICES

PROVIDED:

11. LOCATION SERVICES PROVIDED (local, nationwide, worldwide, etc.):

SECTION II: EVALUATION AND AGENCY IDENTIFICATION (To be filled out by the Evaluator)

1. AGENCY (CUSTOMER) NAME:

2. EVALUATOR NAME & TITLE:

3. EVALUATOR CONTACT INFORMATION:

PHONE NO:

E-MAIL:

4. NUMBER OF YEARS EVALUATOR WORKED

ON SUBJECT CONTRACT:

SECTION III: PAST PEROFRMANCE ADJECTIVAL RATING

ADJECTIVAL CODE DESCRIPTION

EXCELLENT E During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded many to the

Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

GOOD G During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded some to the

Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective

ADEQUATE A During the contract period, contractor performance meets or met contractual requirements. The contractual performance of the element or sub-element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL M During the contract period, contractor performance does not or did not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

POOR U During the contract period, contractor performance does not or did not meet most contractual requirements and recovery in a timely manner is not likely. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

UNKNOWN NA No knowledge of this element or does not apply to meeting contractual requirements

SECTION IV: PAST PEROFRMANCE QUESTIONS / EVALUATION

PAST PEROFRMANCE ELEMENT RATING

1. Contractor demonstrated a thorough understanding of technical requirements of the contract/task:

E G A M U NA

Comments:

2. Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively. Contractor met or exceeded program cost, schedule, and performance goals.

Contractor forecasted, managed, and controlled contract cost/price. Contractor invoiced appropriately and in a timely manner.

3. Contractor recruited, hired, and trained a qualified workforce with the appropriate skill levels to perform the required work.

4. Contractor retained a qualified workforce with the appropriate skill levels and maintained a low turnover rate.

Contractor replaced departing personnel with employees of the same quality and skills with minimal disruption to performance.

5. Contractor developed and implemented innovative processes and methodologies. Contractor improved efficiencies through innovative processes and approaches.

6. Contractor anticipated, identified, and resolved problems effectively and in a timely manner. Contractor suggested alternative approaches to unresolved problems. Contractor identified and reduced unanticipated risks.

7. Contractor provided accurate, complete and high quality performance and deliverables.

8. Contractor developed realistic schedules and met established schedules and delivery dates.

9. Contractor was responsive to contract changes. Contractor complied with the terms of the contract.

10. Contractor provided an innovative solution.

11. Contactor was issued a cure or show cause notice under the referenced contract.

If yes, please explain the outcome.

RATING

YES NO

12. The contractor is rated in Past Performance Information Retrieval System

(PPIRS).

13. I would recommend award to this contractor again.

OVERALL RATING

E G A M U NA