Attachment 3 - Assessor Past Performance Questionnaire.docx

733510-22-Q-0075 Attachment 3 – ASSESSOR PAST PERFORMANCE QUESTIONNAIRE

Instructions:

· Sections II and III are to be completed by the Offeror and provided to the Assessor (Personnel who had experience with the Offeror on a relevant contract referenced on this Attachment). The Offeror must submit with its proposal (by the closing date of the Solicitation) all copies of Sections I, II, and III of this Questionnaire as provided to assessors.

· The Assessor, in turn, will verify Sections II through III, review Section IV, and complete Section V of this Questionnaire. The assessor will submit the completed Questionnaire to the Small Business Administration – Contracting Office.

Message to the assessor:

Your assistance is requested by the Small Business Administration 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 do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: jeffrey.meyer@sba.gov.

I. Solicitation Data (for the proposed effort)

II. Current or Historical Contract Information (Assessor: If any information is incorrect herein, please annotate and provide the correct information accordingly.)

Assessor: The information listed below is |_| Correct |_| Incorrect.

CONTRACTOR

NAME & ADDRESS:

Contract Number

Type of Contract

Contract Value

Performance Period Delivery Schedule

Project/Requirement Description

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

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.

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 (Specify)

IV. Evaluation Definitions

Use the following definitions in your assessment of contractor performance.

V. Performance Evaluation

1. Quality of Performance

a. What is your OVERALL assessment of the quality of the contractor’s performance?

Quality of Performance

Please provide the rationale for your assigned rating.

b. Assess the Contractor’s Quality of Performance in the following areas.

Conformance to Contract Requirements

Conformance to Specifications

Standards of Workmanship

Standards of Workmanship: Technical, professional, environmental, safety, etc.

While all comments are appreciated, please explain below your rationale for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to problems associated with quality as identified in the above assessment? If yes, please explain.

2. Schedule Performance (Timeliness)

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Schedule Performance

Please provide your rationale for the assigned rating.

b. Assess the Contractor’s Schedule Performance in the following areas.

Completion of Contract/Task Order/Delivery Schedule

Meeting Milestones and Schedules

Submitting Deliverables

While all comments are appreciated, please explain below your rationale for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to any Schedule problems identified in the above assessment? If yes, please explain.

3. Management Performance

a. What is your OVERALL assessment of the Contractor’s management performance?

Management Performance

Please provide rationale for assigned rating.

b. Assess the Contractor’s Management Performance in the following areas.

Management Responsiveness

Program Management

Management Responsiveness: Timeliness, completeness, and quality of problem identification, proposal submittal, history of cooperative behavior, effective business relations, teamwork AND customer satisfaction.

Program Management: Effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices

While all comments are appreciated, please explain below your rationale for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to any of the management problems identified in the above assessment? If yes, please explain.