Attachment 3 - Past Performance Questionnaire.pdf
PDF 127 KB Posted
- Attached to
- ICITAP/OPDAT Worldwide Support Services
- Solicitation number
- 15JPSS26R00000038
About this file
This is a Past Performance Questionnaire template for use in a U.S. Department of Justice source selection for worldwide support services supporting the Criminal Division's International Criminal Investigative Training Assistance Program (ICITAP) and Office of Overseas Prosecutorial Development, Assistance and Training (OPDAT). Solicitation Number 15JPSS26R00000038.
The questionnaire is designed to be completed by past performance evaluators who have direct knowledge of an offeror's performance on a referenced contract or task order. Evaluators are instructed to rate contractor performance across five key elements: Quality (whether services consistently met contract requirements); Schedule (whether required schedules were met); Cost Control (whether work was managed within negotiated costs); Management (whether contractor management effectively communicated with the Government, responded promptly to issues, and successfully managed contract performance); and Regulatory Compliance (whether the contractor complied with applicable contract terms, reporting requirements, security requirements, and other contractual or regulatory obligations). Each element uses a five-point rating scale: E (Exceptional), VG (Very Good), S (Satisfactory), M (Marginal), U (Unsatisfactory), or NA (Not Applicable), with narrative support required for each rating. The questionnaire also requests an overall performance characterization and a yes/no recommendation regarding the contractor's suitability for similar future contracts. The completed form must be returned directly to the offeror for inclusion in its proposal, with the Government reserving the right to verify information and contact evaluators for clarification.
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ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE
The U.S. Department of Justice is conducting a source selection for worldwide support services in support of the Criminal Division's International Criminal Investigative Training Assistance Program (ICITAP) and Office of Overseas Prosecutorial Development, Assistance and Training (OPDAT). As part of the evaluation, the Government is assessing the quality of each Offeror's past performance.
Your responses will assist the Government in evaluating the contractor's performance on the referenced contract or task order.
In order to accurately evaluate the Offeror’s past performance, your assistance is requested in obtaining and verifying the past performance history of this Offeror.
The Offeror has completed the contractor information section of this questionnaire. Please complete the evaluation portion and return the completed questionnaire directly to the Offeror for inclusion in its proposal. The Government reserves the right to verify the information provided and to contact the evaluator if additional clarification is required.
SOLICITATION N.: 15JPSS26R00000038
PAST PERFORMANCE QUESTIONNAIRE
NAME AND ADDRESS OF COMPANY EVALUATED:
CONTRACT NUMBER
CONTRACT PERIOD AND PLACE(S)
OF PERFORMANCE
CONTRACT VALUE CONTRACT TYPE
CONTRACTING OFFICER NAME,
AGENCY, TELEPHONE NUMBER, AND EMAIL ADDRESS
DESCRIPTION OF WORK PERFORMED BY THE OFFEROR:
NAME OF EVALUATOR, COMPANY/AGENCY,
TELEPHONE NUMBER, AND EMAIL
ADDRESS
DATE EVALUATION PROVIDED
Instructions to the Evaluator: The Offeror has completed the contractor information section below. Please complete only the evaluation portion of this questionnaire based on your personal knowledge of the Offeror's performance under the referenced contract or task order. Please return the completed questionnaire to the Offeror.
Performance Element Select
Rating*:
E, VG, S,
M, U, NA
Narrative Supporting the Rating
1. QUALITY
Did the contractor consistently provide services meeting contract requirements?
2. SCHEDULE
Did the contractor meet required schedules?
3. COST CONTROL
Was work managed within negotiated cost?
4. MANAGEMENT
Did contractor management effectively communicate with the Government, respond promptly to issues, and successfully manage contract performance?
5. REGULATORY COMPLIANCE
Did the contractor comply with applicable contract terms, reporting requirements, security requirements, and other contractual or regulatory obligations?
* Rating Definition E – Exceptional: Performance consistently exceeded contract requirements to the Government's benefit.
VG – Very Good: Performance exceeded some contract requirements and otherwise met all requirements.
S – Satisfactory: Performance met contract requirements.
M – Marginal: Performance did not consistently meet contract requirements; corrective action was required.
U – Unsatisfactory: Performance failed to meet contract requirements.
NA – Not Applicable: The evaluation element did not apply to the referenced contract or task order.
Overall Performance Based on your overall experience administering or overseeing this contract, how would you characterize the contractor's overall performance?
Would you recommend this contractor for contracts of similar scope, size, and complexity? Yes/No.
If No, please explain.
| PAST PERFORMANCE QUESTIONNAIRE |
| NAME AND ADDRESS OF COMPANY EVALUATED: |
| 3. COST CONTROL |
| 4. MANAGEMENT |
| 5. REGULATORY COMPLIANCE |
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