Attachment 3 Past Performance Questionnaire.docx
DOCX document 28 KB Posted
- Attached to
- General Clerk Services for NRCS NY State Offices
- Solicitation number
- 12FPC424Q0005
About this file
This document is a past performance questionnaire template for a federal solicitation seeking general clerk and administrative services. The Natural Resources Conservation Service (NRCS) within the Department of Agriculture is soliciting these services for its 46 offices throughout New York state. The contractor will provide general clerk, administrative, and support duties. The contracting officer will provide the contractor name to the assessor, who must then complete and return the questionnaire by November 27, 2023 to evaluate the contractor's past performance on ratings of exceptional, very good, satisfactory, marginal, or unsatisfactory. The assessor must provide a rationale for any marginal or unsatisfactory ratings.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Instructions:
· The Contracting Officer will complete Section I and II.
· The Assessor will complete Sections III-VII.
Message to the Assessor: Your assistance is requested by the agency to assist with providing feedback regarding the past performance of the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Officer respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: julie.gavin@usda.gov by November 27, 2023. Please sign and date the last page.
I. Solicitation Information
| Solicitation Number |
| 12FPC424Q0005 |
| Project/Requirement |
| Administrative Support Services for NRCS NY State Offices |
| Agency |
| United States Department of Agriculture - |
Natural Resources Conservation Services (NRCS)
Project/Requirement Description Project requires the contractor to provide general clerk and administrative services for the 46 various NRCS offices throughout the State of New York.
II. Contract Information for Past Performance Reference
CONTRACTOR NAME:
[insert contractor name]
| Contract No |
| [Fill-in] |
Period of Performance/Delivery Schedule
[Fill-in]
[Fill-in]
| Project/Requirement Description |
| [Fill-in] |
III. Assessor Information Assessor Name
Role
Phone Number/Email Address
IV. Evaluation Definitions The following definitions must be used in your assessment of Contractor performance.
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. |
V. Overall Rating of Contractor’s Performance
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
VI. General Comments Any comments are appreciated; however, at a minimum please provide rationale for ratings of marginal or unsatisfactory for both the individual element and overall ratings.
Assessor’s Signature Date
Assessor’s Name
File details come from the government source that posted it. Updated .