Attachment 3_Past-Performance-Questionnaire.pdf

Past Performance Questionnaire Template

Instructions:

◊ Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

◊ Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

◊ Sections III through VII to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the

Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to:

Jessica.Loftus@noaa.gov.

I. Solicitation Data (for the proposed effort)

Solicitation Number

Project/Requirement

Customer/Agency

Description

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is correct or incorrect.

Contractor name & address:

Contract No

Type of Contract

Initial Final

Contract Value

Period of

Performance

Description

Please select from the following as it applies to this contract:

Contracting Role

Termination History

III. Assessor Information

Assessor

Company/Agency

Assessor Name

Title

Phone Number/Email

Address

Identify your role in the contract award or administration and the period of your involvement.

Role Period of Involvement mailto:Jessica.Loftus@noaa.gov

1305M224Q0034

ATTACHMENT #3

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

IV. Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the government’s benefit. The contractual performance of the element or sub-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 contractual performance of the element or sub-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 contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY

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

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

V. Performance Evaluation

1. Technical Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Technical

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

2. Schedule Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Schedule

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must

3. Management

a. What is your OVERALL assessment of the Contractor’s management performance?

Management

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must

b. Assess the Contractor’s management performance in the following areas.

Management Exceptional Very

Good

Satisfactory Marginal Unsatisfactory N/A

MANAGEMENT RESPONSIVENESS—

Timeliness, completeness, and quality of problem identification, proposal submittal, history of cooperative behavior, effective business relations, teamwork AND

Customer satisfaction.

SUBCONTRACT MANAGEMENT—

Timely award and management of subcontracts and meeting subcontracting goals for small business, small disadvantaged business, etc.

PROGRAM MANAGEMENT—

Effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices.

MANAGEMENT OF PERSONNEL—

Ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the

Government’s requirements within schedule and budget.

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must

4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Cost Control

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must

VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. General Comments:

Please provide rationale for the assigned rating. All comments are appreciated; however, at a minimum, rationale must

Assessor’s Signature Date