Attachment 3- Past Performance Eval Form.doc

DOC document 39 KB Posted

Attached to
USMMA Student Information System Federal contract opportunity
Solicitation number
693JF721R000001
Issued by
Department of Transportation Maritime Administration

About this file

This document is a past performance evaluation form for vendors responding to solicitation number 693JF721R000001 from the Department of Transportation Maritime Administration for a USMMA Student Information System. The form is to be completed by references for vendors and returned by email no later than November 19, 2020. It requests details of recent similar contracts, ratings on a scale of 1 to 5 for quality, timeliness, cost management, and problem resolution, as well as questions on contract termination and changes. Respondents are asked to provide an overall assessment of each vendor's performance and actual results achieved.

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Text version

USMMA Student Information System

RFP #: 693JF721R000001

Attachment 3 – Past Performance Evaluation Form

Name of Evaluator:

Organization:

Official Position:

Phone/Email:

Name of Company Evaluated:

Company Address:

Contract No. (Indicate if prime/subcontractor):

Contract Period of Performance:

_____/_____/______ to ____/____/_____

Contract Type:

Contract Value:

PLEASE RETURN THIS SURVEY VIA E-MAIL TO: LaChelle.Johnson@dot.gov by November 19, 2020 at

12PM Eastern Time (ET) with the subject line: “Past Performance Evaluation for (insert Vendor)- 693JF721R000001.

Please provide a thorough and complete description of the most recent services you have contracted for from the vendor.

INSTRUCTIONS – For each item, circle the rating that best describes the contractor’s work on this project and provide any additional comments. For items not applicable to your project, please indicate N/A.

5= Exceptional

No problems, issues, or delays in achieving contract requirements

4= Good

Does not impact achievement of contract requirements

3=Acceptable

Requires minor agency resources to ensure achievement of contract requirements

2=Marginal

Requires major agency resources to ensure achievement of contract requirements

1= Unacceptable

Achievement of contract requirement is compromised

N/A= Not applicable Does not apply

(1) Overall Quality of Contract Performance

N/A Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(2) Contractor’s ability to meet deadlines, be responsive to

N/A

Inquiries, and provide deliverables as scheduled Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(3) Contractor’s ability to effectively forecast, manage

N/A and control costs (Not applicable for Fixed-Price contracts/orders) Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(4) Timeliness, completeness and quality of problem identification, N/A corrective action plans, reasonable and cooperative behavior, customer satisfaction, and management of sub contract personnel Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

Based on this contractor’s overall performance, would you award this contractor a similar contract?

Yes [ ] No [ ] If “no’, please explain:

Has this contract been partially or completely terminated?

Yes [ ] No [ ] If “yes’, please explain:

Were there any changes in contract dollar value throughout the life of the contract?

Yes [ ] No [ ] If “yes”, please explain:

In summary, please give your overall assessment of this contractor and the actual results achieved as a result of this contractor’s performance.

PAGE

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