Attachment 3 Performance Assessment Questionnaire ATC Mobile BOSS.docx
DOCX document 38 KB Posted
- Solicitation number
- 70Z08425QAA850900
About this file
The document is a Performance Assessment Questionnaire for evaluating a contractor's past performance on a federal contract. The questionnaire provides a comprehensive rating scale from Exceptional to Unsatisfactory across 21 performance metrics, including areas such as personnel management, problem-solving, schedule adherence, quality control, and overall project execution. Respondents are asked to rate the contractor's performance across various dimensions and provide a final recommendation on whether they would award another contract to the company.
The questionnaire is specifically related to the US Coast Guard Solicitation No. 70Z08425QAA850900 for Facilities Maintenance Services at the ATC Mobile, AL location. The solicitation is a Service-Disabled Veteran Owned Small Business (SDVOSB) Set-Aside for comprehensive facility maintenance services, including food service equipment, transportation services, electrical systems, building maintenance, grounds maintenance, and various infrastructure support functions. Key dates include an optional site visit on 1 July 2025, a question submission deadline of 2 July 2025, and a quote submission deadline of 11 July 2025, with quotes to be emailed to the Contract Specialist and Contracting Officer.
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Text version
ATTACHMENT 4: PAST PERFORMANCE QUESTIONNAIRE
Contract:
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate.
Contractor Name:
Telephone Number:
Address:
Fax Number:
Point of Contact:
Project Title and Brief Description of Work:
Contract Number:
Dollar Amount:
Period of Performance:
Contractor Performed As: ☐ Prime Contractor ☐ Subcontractor
B. RESPONDENT INFORMATION:
Name of Respondent:
Title:
Address
Telephone Number:
Fax Number:
Email Address:
C. Did the vendor provided a copy of Attachment 2 Past Performance Experience: Yes ____ No ______
D. Does the Past Performance Experience reflect the actual work performed. Yes _____ No _____
Comments:
E. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, VG, S, M, and U) that most accurately describes the Contractor’s performance or situation. Please provide a narrative explanation for any rating of U.
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective. |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective. |
| Performance meets contractual requirements. The contractual performance of the task and/or sub-task contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory. |
| Performance does not meet some contractual requirements. The contractual performance of the task and/or sub-task 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. |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the task and/or sub-task contains a serious problem(s) for which the Contractor’s actions appear or were ineffective. |
Place an “X” in the appropriate column using the definitions matrix above.
| The Contractor has: |
| E |
| VG |
| S |
| M |
| U |
| 1 |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2 |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3 |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4 |
| Home office participated in solving significant local problems. |
| 5 |
| Followed approved quality control plan. |
| 6 |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 7 |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 8 |
| Provided timely resolution of contract discrepancies. |
| 9 |
| Identified problems as they occurred. |
| 10 |
| Suggested alternative approaches to problems. |
| 11 |
| Displayed initiative to solve problems. |
| 12 |
| Developed realistic progress schedules. |
| 13 |
| Met established project schedules. |
| 14 |
| Provided timely resolution of warranty defects. |
| 15 |
| Was responsive to contract changes. |
| 16 |
| Provided adequate project supervision. |
| 17 |
| Obtained consent of surety for increases in bonding as work-in-progress increased. |
| 18 |
| Paid subcontractors/suppliers in a timely manner. |
| 19 |
| Provided accurate and complete line-item cost proposals including all aspects of work required for each task. |
| 20 |
| Cooperated with Government personnel after award. |
| 21 |
| How would you rate the contractor's overall performance? |
| 22 |
| Was the Contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks”. |
| Yes / No |
| 23 |
| Would you award another contract to this Contractor? If not, explain in “remarks”. |
| Yes / No |
| 24 |
| Is this Contractor rated in CPARS? |
| Yes / No |
Remarks:
Please return Attachment 3 you received from the vendor to Ryan Difernando, Contract Specialist at Ryan.a.difernando@uscg.mil by 10 am July 10, 2025.
File details come from the government source that posted it. Updated .