Attachment 3 - Past Performance Questionnaire.docx - Google Docs.pdf

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Attached to
BELL M SHIMADA CATERPILLAR 3512C MARINE ENGINE TOP END OVERHAULS (9, 000 hr)
Solicitation number
1305M223QNMAN0120
Issued by

About this file

This document contains a past performance questionnaire template for evaluating contractor performance on a specific federal contract. The questionnaire includes three sections to assess quality of service, schedule, and management on a rating scale from exceptional to unsatisfactory. Respondents are asked to provide comments for each section and include their name, signature, and date before sending the completed questionnaire by June 30, 2023 to the identified email address.

The related federal contract opportunity is solicitation number 1305M223QNMAN0120 for the Department of Commerce National Oceanic and Atmospheric Administration to perform bell M Shimada Caterpillar 3512C marine engine top end overhauls requiring 9,000 work hours.

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Text version

PAST PERFORMANCE QUESTIONNAIRE

REFERENCE CONTRACT #: __________________________________

(the contract the evaluation is based on)

Evaluator’s Name: ___________________________

Evaluator’s email: ____________________ Evaluator’s Phone Number: _______________

Evaluator’s Agency or Company Name: ____________________________

Send Completed Questionnaire to kelani.lawrence@noaa.gov no later than June 30, 2023 4:00 PM Eastern Standard Time (EST).

1. QUALITY OF SERVICE

Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, or environmental standards).

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Comments:

Attachment III mailto:kelani.lawrence@noaa.gov

2. SCHEDULE

Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule variance).

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Comments:

3. MANAGEMENT

Assess the integration and coordination of all activities needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior, and customer satisfaction.

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Comments:

ADDITIONAL COMMENTS, IF ANY:

Rater’s Name:

Rater’s Signature:

Date:

Send Completed Questionnaire to kelani.lawrence@noaa.gov no later than June 30, 2023 at 4:00 PM EST.

mailto:kelani.lawrence@noaa.gov

File details come from the government source that posted it. Updated .