Attachment 4 Past Performance Questionnaire.pdf

Solicitation Number

Source Selection Information – See FAR 2.101 and 3.104

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Section A shall be completed by the Offeror prior to issuing the questionnaires to the individuals providing references. The Offeror shall send the questionnaires for relevant projects in size, scope and complexity that are in progress or have been completed within the past three

(3) years to individuals who will be providing the reference. If using a Government contract for the purposes of this evaluation, the Offeror shall send the questionnaire to the Contracting

Officer (CO) or Contracting Officer’s Representative (COR). If using a commercial entity, the

Offeror shall send the questionnaire to personnel with oversight duties similar to those in

Government contracts mentioned above (e.g. Contracts Manager or Program Manager). It is the responsibility of the Offeror to follow‐up and to encourage references to submit the questionnaire in a timely manner.

Sections B and C shall be completed by the individuals providing references. The completed questionnaire shall be submitted via email directly from the person providing the reference, originating from the reference’s government or commercial email account, to , no later than .

A. PAST PERFORMANCE PROJECT IDENTIFICATION (To be filled out by the Offeror):

CONTRACTOR NAME:

CONTRACT or ORDER NUMBER:

PROJECT TITLE:

DESCRIPTION OF HOW THIS

PROJECT IS RELEVANT TO THE

SOLICITATION:

TOTAL PERIOD OF

PERFORMANCE, INCLUDING

OPTIONS:

B. PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

NAME:

TITLE:

AGENCY OR CUSTOMER:

PHONE:

EMAIL:

C. For each of the six (6) criteria listed below, the individual providing the reference shall use the following adjectival ratings and definitions that best reflect the evaluation of the contractor’s performance. Additional comments that support your rating are encouraged.

1. QUALITY OF SERVICE

Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, or environmental standards.

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

COMMENTS:

2. SCHEDULE

Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule variance).

RATING ADJECTIVAL

Government’s benefit. The element being assessed was accomplished with few

Government’s benefit. The element being assessed was accomplished with some likely in a timely manner. The element being assessed contains a serious

3. COST CONTROL

Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.

RATING ADJECTIVAL

Government’s benefit. The element being assessed was accomplished with few

Government’s benefit. The element being assessed was accomplished with some likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were

NOT APPLICABLE

4. BUSINESS RELATIONS

Assess the integration and coordination of all activities needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior, and customer satisfaction.

RATING ADJECTIVAL

Government’s benefit. The element being assessed was accomplished with few

Government’s benefit. The element being assessed was accomplished with some likely in a timely manner. The element being assessed contains a serious

5. MANAGEMENT OF KEY PERSONNEL

Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

RATING ADJECTIVAL

Government’s benefit. The element being assessed was accomplished with few

Government’s benefit. The element being assessed was accomplished with some likely in a timely manner. The element being assessed contains a serious

6. MANAGEMENT OF TEAMS AND / OR SUBCONTRACTORS INCLUDING ABILITY

TO WORK WITH OTHER CONTRACTOR STAFF

RATING ADJECTIVAL

Government’s benefit. The element being assessed was accomplished with few

Government’s benefit. The element being assessed was accomplished with some likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were

NOT APPLICABLE

ADDITIONAL COMMENTS, IF ANY

SIGNATURE AND DATE