Attachment 4 -Past Perf Questionnaire.pdf
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- Attached to
- Transcription Services
- Solicitation number
- SP4704-25-Q-0021
- Issued by
-
Defense Logistics Agency
About this file
This document is a Performance Questionnaire used by the Defense Logistics Agency (DLA) to collect past performance information on a contractor as part of a best value determination for the SP4704-25-Q-0021 Transcription Services solicitation. The questionnaire provides a comprehensive evaluation framework with rating scales ranging from Neutral to Exceptional across five key performance areas: Quality of Product, Cost Control, Schedule, Business Relationships, and Customer Satisfaction. Respondents are asked to rate the contractor's performance by marking an "X" in the appropriate box for each criterion, with specific emphasis on items such as conforming to contract requirements, timely task completion, effective communication, and overall customer satisfaction. The form requires detailed feedback and mandates explanations for any Exceptional or Unsatisfactory ratings, ensuring a thorough assessment of the contractor's performance.
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SP4704-25-Q-0021/DLA-DCSO-R2/JENKINS Attachment 4
* Return to the Government Procurement Office via Email to Wesley.Jenkins@DLA.mil* Source Selection Sensitive Information - See FAR 2.101 & 3.104
PERFORMANCE QUESTIONNAIRE
Defense Logistics Agency (DLA) is collecting past performance information on the company listed below as part of its best value determination on an active procurement. Please complete the evaluation and return directly to the Government. The information is considered sensitive and will not be released to the Offeror.
Company (Offeror) Name:_______________________________________________
Address:_____________________________________________________________
RATING SCALE: Please use the following ratings to answer the questions, by placing an “X” in the appropriate box.
If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “NA.”
EVALUATION CRITERIA:
Exceptional - The Company’s performance was consistently superior. Performance was entirely favorable and you wouldn’t hesitate to do business with them again.
Very Good - The Company’s performance was better than average, and you would willingly do business with them again. The contractual performance was mostly favorable and corrective actions, if any, that were taken by the contractor were effective.
Satisfactory - The Company’s performance was adequate for the project and you would consider doing business with them again. There were minor performance problems which were corrected.
Marginal – The Company’s performance was below average and you would be hesitant to do business with them again. There were some significant performance issues and the vendor had some difficulty taking corrective action.
Unsatisfactory – The Company’s performance was entirely unsatisfactory and you would not do business with them again under any circumstances. There were serious performance issues with the contractor and the contractor’s corrective actions were ineffective.
Neutral—No record exists.
FOR AREAS INDICATING EITHER EXCEPTIONAL OR UNSATISFACTORY PERFORMANCE, PLEASE PROVIDE AN
EXPLANATION IN THE COMMENTS SECTION OF THE SURVEY.
QUALITY OF PRODUCT Neutral Unsatisfactory Marginal Satisfactory Very Good
Exceptional
Provided a service that conformed to contract requirements, specs, and standards of good workmanship.
Submitted accurate reports.
Utilized personnel appropriate to the effort performed.
COST CONTROL Neutral Unsatisfactory Marginal Satisfactory Very Good
Exceptional
Performed the effort within the estimated cost/price.
Submitted accurate invoices on a timely basis.
Demonstrated cost efficiencies in performing the required effort.
Actual costs/rates realized closely reflected the negotiated costs/rates.
SCHEDULE Neutral Unsatisfactory Marginal Satisfactory Very Good
Exceptional
Tasks were performed in a timely manner and within the period of performance of the contract.
SP4704-25-Q-0021/DLA-DCSO-R2/JENKINS Attachment 4
* Return to the Government Procurement Office via Email to Wesley.Jenkins@DLA.mil* Source Selection Sensitive Information - See FAR 2.101 & 3.104
Contractor was responsive to technical and/or contractual direction.
BUSINESS RELATIONSHIPS Neutral Unsatisfactory Marginal Satisfactory Very Good
Exceptional
Demonstrated effective management over the effort performed.
Maintained an open line of communication so that the Contracting Officer’s Representative (COR) or technical POC were apprised of technical, cost, and scheduling issues.
Presented information and correspondence in a clear, concise, and businesslike manner.
Promptly notified the COR, technical POC, and/or Contracting Officer in a timely manner regarding urgent issues.
Cooperated in providing flexible, proactive, and effective recommended solutions to critical program issues.
Demonstrated effective management of its subcontractors
CUSTOMER SATISFACTION Neutral Unsatisfactory Marginal Satisfactory Very Good
Exceptional
Products/services adequately met the needs of the contract.
Contractor was able to perform with minimal or no direction from the COR or technical
POC.
I am satisfied with the performance of the contractor.
Expectation that we would award another contract to this firm.
Was the contract terminated for default? [ ] Yes [ ] No. If you answered yes, provide an explanation:
COMMENTS: (Required for all EXCEPTIONAL and UNSATISFACTORY ratings)
TYPE OF EQUIPMENT/SERVICE PROVIDED: _______________________________________________________
THIS EVALUATION WAS COMPLETED BY:
BUSINESS NAME:______________________________ POINT OF CONTACT:__________________________
ADDRESS: _________________________________________________________________________________
PHONE: _________________________________ EMAIL: __________________________________________
SIGNATURE: _____________________________________________ DATE: __________________________
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