Attachment 3 - Past Performance Questionnaire.pdf
PDF 199 KB Posted
- Attached to
- Employee Development Needs Assessment
- Solicitation number
- 93310024Q0018
About this file
This document is a Past Performance Questionnaire that is used to evaluate the performance of a contractor or vendor on a federal contract or project. The questionnaire covers areas such as the contractor's ability to meet quality standards, on-site management, business ethics, cost control, responsiveness, and overall performance. The form requests the respondent to provide ratings on a scale for each performance category, as well as an overall rating and indication of whether the firm would be selected again. The document also includes information about the specific contract or project, such as the contract/project name, number, location, period of performance, and value.
The related federal contract opportunity is for an Employee Development Needs Assessment for the Federal Mediation and Conciliation Service (FMCS). FMCS intends to award a firm fixed price purchase order to procure this assessment, with the primary goal of determining the current skills and training needs of FMCS employees, as well as future training needs to align with the agency's strategic goals. Respondents should refer to Attachment 1 - Statement of Work for further details on the required services.
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Text version
Past Performance Questionnaire Page | 1
PAST PERFORMANCE QUESTIONNAIRE
CONTRACT/PROJECT INFORMATION (Contractor/Vendor only completes section 1-4)
1. Client Information:
Address:
Phone Number:
Point of Contact:
Email:
2. Work Performed as: (Check all that apply)
Prime Contractor Sub Contractor Joint Venture Other:
3. Type of Contract: (Check all that apply)
FFP FFP-EPA CPFF – Completion CPFF-Term CPIF CPAF
ID/IQ BOA Requirements Labor Hour T&M CR Other:
4. Contract/Project Name:
Contract/Project Number (If Applicable):
Location:
Period of Performance:
Value:
5. Contract/Project Description:
Past Performance Questionnaire Page | 2
PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR
EVALUATION OF THE CONTRACTOR’S PERFORMANCE
1. Ability to meet quality standards specified for technical performance
2. Quality of work
3. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports
4. Effectiveness of on-site management, including management of subcontractors
5. Business ethics/behavior
6. Timeliness/effectiveness of contract problem resolution with extensive customer guidance
7. Cost Control
8. Ability to successfully respond to emergency situations
9. Responsiveness regarding safety issues
10. Timeliness of performance
11. In summary, provide an overall rating for the work performed by this contractor
12. Would you select the firm again?
Any additional comments related to the contractor’s performance:
Name/Title of Person Completing the Form Signature Date
Release of Information: This Contractor Performance Report may be used to support future award decisions, and will be treated as source selection information in accordance with FAR 3.104-4(k)(1)(x) and 42.1503(b). The completed report shall not be released to other than Government personnel and the contractor whose performance is being evaluated during the period the information is being used to provide source selection information.
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| Client Information: |
| Address: |
| Phone Number: |
| POC: |
| Email: |
| 5 ContractProject Description: |
| Any additional comments related to the contractors performance: |
| NameTitle of Person Completing the Form: |
| Date: |
| Contract/Project Name: |
| Contract/Project Number: |
| Location: |
| PoP: |
| Value: |
| Dropdown5: [Select Rating] |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
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| Check Box14: Off |
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| Check Box17: Off |
| Check Box18: Off |
| Text3: |
| Dropdown1: [Select Rating] |
| Dropdown2: [Select Rating] |
| Dropdown3: [Select Rating] |
| Dropdown4: [Select Rating] |
| Dropdown6: [Select Rating] |
| Dropdown7: [Select Rating] |
| Dropdown8: [Select Rating] |
| Dropdown9: [Select Rating] |
| Dropdown10: [Select Rating] |
| Dropdown11: [Select Rating] |
| Dropdown12: [Select One] |
File details come from the government source that posted it. Updated .