Attachment 4 - Past Performance Questionnaire.pdf
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- Attached to
- SERMC - CRANE Services with Operator(s)
- Solicitation number
- N4002724R0002
About this file
This document contains a past performance questionnaire for evaluation of contractors as part of a solicitation for crane services with operators by the Department of the Navy Naval Sea Systems Command. The solicitation seeks a hydraulic rough terrain mobile crane and operator(s) licensed and familiar with the equipment to perform work at the Southeast Regional Maintenance Center on Naval Station Mayport in Jacksonville, Florida. References will be contacted to provide performance ratings on a scale of 1 to 5 for quality, timeliness, management effectiveness, initiative, responsiveness, customer satisfaction, and overall performance. References are also prompted for comments on exceptional or unsatisfactory performance and corporate affiliations. Completed questionnaires must be submitted by April 14, 2023 to the identified Navy contracting officer.
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Text version
Attachment 4: Past Performance Questionnaire
SOURCE SELECTION SENSITIVE INFORMATION
PAST PERFORMANCE QUESTIONNAIRE
Past Performance Reference Contract Information
Company Providing Reference (inc. Cage Code): ____________________________________
Contract Number: _______________________
Contractor Being Assessed (inc. Cage Code): ___________________________________
Contract Dollar Value:___________________
Contract Title: _________________________________________________ Phone Number: _____________________
Reference POC: _________________________________________ Period of Performance: ______________________
Type of Contract: ________________________________________
Description of Service: ________________________________________________________________________________
The ratings below shall be supplied by the offeror’s customer reference identified above. The questionnaire form shall be submitted by the customer directly to the Government POCs identified below, NOT the offeror.
N/A - Not Applicable
5 - Exceptional- Performance meets contractual requirements and exceeds many to the Government’s benefit. For example, the contractor implemented innovative or business process reengineering techniques, which resulted in added value to the Government/Industry. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
4 - Very Good- Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
3 - Satisfactory- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
2 - Marginal- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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.
1 - Unsatisfactory- Performance does not meet most contractual requirements and recovery is not likely in a timely manner.
The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Attachment 4: Past Performance Questionnaire
Performance Elements N/A 5 4 3 2 1
1. Quality of Service
2. Timeliness of Performance
3. Effectiveness of Management
4. Initiative in Meeting Requirements
5. Responsiveness to Performance Problems
6. Customer Satisfaction
7. Overall Performance
Remarks on exceptional performance:
Remarks on unsatisfactory or below performance:
Please identify any corporate affiliations with the offeror.
Would you do business with this company again?
Please submit this Questionnaire no later than 14 April 2023, 1000 EST via e-mail to Logan Barrett - email address:
Logan.d.barrett3.civ@us.navy.mil.
File details come from the government source that posted it. Updated .