Attachment_4_-_Past-Performance-Questionnaire.docx
DOCX document 4 MB Posted
- Solicitation number
- 1305M326Q0301
About this file
This is a Past Performance Questionnaire template designed to evaluate contractor experience and capability for the Santa Cruz Laboratory Cooling Tower & Chiller Maintenance contract. The questionnaire serves as an appendix to the solicitation and does not address specific products or services required; rather, it functions as an evaluation instrument for assessing bidder qualifications. Contractors responding to solicitation 1305M326Q0301 must complete this questionnaire to demonstrate their past performance on similar maintenance projects, including cooling tower and chiller system work. The template establishes the format and structure that offerors must follow when submitting their past performance data to substantiate their experience and technical capability for the Department of Commerce National Oceanic and Atmospheric Administration contract, which includes a base period plus four option years.
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Text version
1305M326Q0301
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 that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. 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.
· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.
· Sections III through IV to be completed in their entirety by the assessor.
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: name@noaa.gov.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 1305M326Q0301 |
| Project/Requirement |
| Santa Cruz Laboratory Cooling Tower & Chiller Maintenance |
| Customer/Agency |
| NOAA (AGO) |
| Project/Requirement Description |
| Santa Cruz Laboratory Cooling Tower & Chiller Maintenance & Servicing. Base + 4 Option Years. |
II. Current or Historical Contract Information
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
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 |
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 .