Attachment_4_-_Past_Performance_Questionnaire_1305M326Q0374_Woods_Hole_Cottage_Siding__Trim__Paint.docx
DOCX document 4 MB Posted
- Solicitation number
- 1305M326Q0374
About this file
This is a Past Performance Questionnaire template for NOAA solicitation 1305M326Q0374 concerning Woods Hole Facility's Cottage Building Exterior Siding, Trim, and Paint work. The template serves as an assessment instrument to evaluate contractor performance on current or historical contracts relevant to the proposed effort.
The questionnaire is structured for completion in four sections: Sections I and II are completed by the offeror and major subcontractors, then submitted to a government assessor with relevant contract experience; Sections III and IV are completed by the assessor to document their role and provide an overall performance rating. The assessor must verify the contractor and contract information provided in Sections I and II, identify their involvement role (Procuring Contracting Officer, Administrative Contracting Officer, Contract Specialist, Contracting Officer's Representative, Technical Project Lead, Quality Assurance Specialist, or other), and assign an overall performance rating using a five-point scale: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable. The assessment considers contract requirement fulfillment, quality and timeliness of delivery, cost management, communications, proactive management, and customer satisfaction. Completed questionnaires must be submitted to the Contracting Office contact, Jenna Taulman, at jenna.taulman@noaa.gov, with the offeror also submitting copies of Sections I and II with its proposal by the solicitation closing date.
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Text version
1305M326Q0374
ATTACHMENT #4
Past Performance Questionnaire Template
Instructions:
· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel, such as Contracting Officer, that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor to verify Sections I and II, and complete Section III and IV. After completion, please submit to the Contracting Office – Jenna Taulman at jenna.taulman@noaa.gov . 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.
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 please e-mail the completed questionnaire(s) to: Jenna Taulman at jenna.taulman@noaa.gov
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 1305M326Q0374 |
| Project/Requirement |
| Woods Hole Cottage Paint and Trim |
| Customer/Agency |
| NOAA ACGO, on behalf of the Northeast Fisheries Science Center |
II. Current or Historical Contract Information
CONTRACTOR NAME & ADDRESS:
Contract No
Type of Contract
| Initial |
| Final |
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| ☐ PRIME |
| ☐ SUBCONTRACTOR |
| Termination History |
| ☐ Convenience |
| ☐ Default |
| ☐ N/A |
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
III. Assessor Information
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 |
Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA) Auditor
Other:
IV. Overall Performance Rating
Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Additional comments/notes:
Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only
File details come from the government source that posted it. Updated .