Attachment 4 - PERFORMANCE QUESTIONNAIRE.docx

DOCX document 2 MB Posted

Attached to
Honeywell Analytical Analyzer Single Channel
Solicitation number
N3220526Q7201
Issued by

About this file

This is a Contractor Performance Questionnaire template used by Military Sealift Command (MSC) to gather reference information about contractors' past performance during the solicitation process for contract N3220526Q7201. The questionnaire requests feedback from references provided by prospective contractors and must be completed and submitted to Shelby Beach, Contract Specialist, at shelby.m.beach.civ@us.navy.mil before the solicitation closing date.

The questionnaire evaluates contractor performance across three primary areas: Quality of Product or Service (conformance to contract requirements, personnel appropriateness, report accuracy, and technical excellence); Timeliness or Scheduling of Supplies/Deliveries (performance timeliness, interim milestone achievement, reliability, and responsiveness); and Business Relations/Customer Satisfaction (effective management, problem notification, cooperative behavior, subcontract management, and small business subcontracting program execution). Respondents rate performance using five categories—Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory—with detailed definitions provided for each rating level. The form also requests an overall performance rating and asks whether the respondent would rehire the contractor for future services. Responses should include detailed comments, particularly for Exceptional or Unsatisfactory ratings, and may utilize additional pages as needed.

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Text version

PERFORMANCE QUESTIONNAIRE

TO: FACSIMILE:

PHONE: EMAIL:

INFORMATION REQUEST

Military Sealift Command (MSC) is currently in the process of soliciting offers for a contract. ____________________ has provided your name and organization as a reference regarding their record of past performance under Contract No. ___________________. Specifically, we are looking for performance information in the following areas:

a.) Quality of Product or Service b.) Timeliness or Scheduling of Service/Deliveries c.) Business Relations/Customer Satisfaction

In order for our team to compile its evaluation, we request that you complete the attached questionnaire and email it, and any other pertinent information, BEFORE THE CLOSING DATE OF SOLICITATION N3220526Q7201 to Shelby Beach at shelby.m.beach.civ@us.navy.mil. Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

Thank you,
Shelby Beach
Contract Specialist

564-226-7552

CONTRACTOR PERFORMANCE QUESTIONNAIRE

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: DELIVERY ORDER NO.:

1. Please describe the service/supply provided by the Contractor for your organization.

2. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. See next page for definition of ratings. For ratings of “Exceptional” or “Unsatisfactory,” please provide a brief explanation.

EXCEPTIONAL
VERY GOOD
SATISFACTORY
MARGINAL
UNSATISFACTORY

OVERALL PERFORMANCE RATING

Please provide an overall rating of the Contractor’s performance for the referenced contract/delivery order.

a.) Quality of Product or Service: Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence b.) Timeliness or Scheduling of Supplies/Deliveries: Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.

c.) Business Relations/Customer Satisfaction: Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business subcontracting program and satisfaction with Contractor’s service.

3. Would you hire this Contractor to provide supplies/services for your organization in the future? Yes |_| No |_| Please provide comments using additional pages if desired.

Signed:__________________________________

DEFINITION OF RATINGS FOR PAST PERFORMANCE

Exceptional
Performance meets/met contractual requirements and exceeds/exceeded many to the customer’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/met contractual requirements and exceeds/exceeded some to the Customer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory
Performance meets/met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory.
Marginal
Performance does not/did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet or did not identify corrective actions.
Unsatisfactory
Performance does not/did not meet most contractual requirements and if currently being performed, 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.

MSC V1.1 (23 July 2013)

File details come from the government source that posted it. Updated .