Attachment 3_Past Performance Questionnaire.docx
DOCX document 31 KB Posted
- Attached to
- Janitorial Services, Raleigh, NC Federal contract opportunity
- Solicitation number
- 12405B23Q0006
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 12405B23Q0006 Amendment 0002.pdf | ||
| 12405B23Q0006 Amendment 0001.pdf | ||
| Attachment 2_Performance Work Statement.pdf | ||
| Attachment 4_Biobased Satement Letter.docx | DOCX document | |
| Sol_12405B23Q0006.pdf | ||
| Attachment 1_Wage Determination No 2015-4393 Rev 21.pdf |
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PAST PERFORMANCE QUESTIONNAIRE
Solicitation# 12405B23Q0006
Instructions: The end user/client must complete the questionnaire and submit directly back to the offeror. The offeror must submit the complete questionnaire with their quote. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
NAME OF OFFEROR: _________________________________________
I. Current or Historical Contract Information
CONTRACT REFERENCED:
1. Contract or Identifying Number: _____________________________
2. Work performed as: ☐ Prime Contractor ☐ Subcontractor ☐ Joint Venture ☐ Other (Explain)
3. Contract Value: _________________________________________
4. Period of Performance: _______________________________________________________________
5. Brief description of work (specify the number of buildings, estimated occupants, frequency of services, type of janitorial services, estimated square footage serviced, etc.):
6. Name of Person Completing Questionnaire: _____________________________________________
Agency/Company: _____________________________________________________________
Title: __________________________________ Phone: _____________________________
E-mail: _____________________________________________________________________
Signature: ___________________________________________________________________
7. Alternate POC w/ Phone Number: _________________________________________________ II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions –
The following definitions should be used in the assessment of Contractor performance.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements. 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. |
Past Performance Evaluation
Question 1. Performance
What is your assessment of the Contractor’s ability to meet your requirements?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Performance | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Comments, if any.
Question 2. Timeliness/Schedule
What is your assessment of the Contractor’s ability to provide services in a timely manner?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Timeliness | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Ability to Resolve Timeliness Problems | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 3. Quality of Services
What is your assessment of the Contractor’s ability to meet requirements (including staffing with appropriate knowledge, skills and abilities; conformance to contract requirements; safety/health standards, accuracy of data/reports; etc.) and the overall quality of the services?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Quality of Services | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 4. Cost
What is your assessment of the Contractor’s ability to work within contract cost constraints (Does the Contractor keep within the total estimated cost; Did the Contractor do anything innovative that resulted in cost savings; Were billings current, accurate and complete, etc.)
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Quality of Services | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 5. Overall Rating of Contractor’s performance
What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
General Comments:
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