Attachment 3 - Past Performance Questionnaire.docx - Google Docs.pdf
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- Solicitation number
- 1305M223QNMAN0120
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 .