Attachment__5_-_Past_Performance_Questionnaire.docx

United States Department of the Interior

NATIONAL PARK SERVICE

CONOPS STATEGICS

1849 C Street, N.W.

Washington, D.C., 20240

NPS-ConOps Strategic Page 4 of 4

RFP 140PS124R0003

ATTACHMENT #5

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

SEKI Hazardous Tree Mitigation

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND WILL NOT BE RELEASED TO THE OFFEROR.

I. Please provide the following information about yourself:

Name of Respondent and Role Relative to Contract (Buyer, Program Manager, etc.)

Name:

Role:

Agency or Business:

Address:

Telephone No.:

Email address:

II. Please provide the following information on the specific program:

Contractor/Business:

Contract Number:

Program Title and Brief Description:

Contractor’s Role in the Program:

Prime

Subcontractor

Vendor/Supplier

Option:

No:

III. General Information about this Contract

Period of Performance of Contract or Effort Beginning Date (mm/yyyy)

Through (mm/yyyy)

Have there been any changes to the original schedule? If yes, please explain.

IV. The following section will require you to rate the past/present performance of the offeror. Should your response be other than “satisfactory,” please provide supporting documentation. If supporting documentation is not provided for ratings that are other than “satisfactory,” the ratings will be considered to be unsubstantiated and will be interpreted as satisfactory. To assist you in your evaluation, please use the following definitions:

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

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

N/A NOT APPLICABLE: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

PERFORMANCE ASSESSMENT

1. Provides experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Hires, trains, and applies a qualified workforce to this effort.

3. Provides effective quality control and/or inspection procedures to meet contract requirements.

4. Quality of records management and reporting.

5. Provides timely resolution of contract discrepancies.

6. Provides accurate and complete reports and documentation in a timely manner.

7. Maintains a viable and effective Safety Program.

8. Demonstrates positive responsiveness to unscheduled requirements or contract changes.

9. Pays subcontractors/suppliers in a timely manner.

10. Submits timely, accurate, and complete invoices.

11. Overall commitment to customer satisfaction.

12. Demonstrates professionalism and courtesy in dealing with customers.

13. How would you rate the contractor’s overall performance for this contract?

Additional Comments for 1-13: (please indicate number next to comment)

V. Miscellaneous Questions

15. Has action been initiated to cancel or terminate the contract for default? If yes, explain.

16. Have there been any disputes/claims relative to the contract? If yes, explain.

17. Describe the contractor’s or companies strong and/or weak points identified during the life of the contract.

18. If given a choice, would you award to this contractor again? If not, please explain.

19. Do you feel you “got what you paid for”? Please explain.

20. Additional Remarks.

The comments and information you’ve provided are invaluable to the source selection process. The National Park Service thanks you for taking the time to fill out this questionnaire.

NPS-ConOps Strategic Page 1 of 4

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

Preserving unimpaired the natural and cultural resources and values of the national park system for the enjoyment, education, and inspiration of this and future generations.

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

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