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Attachment 9 - Past Performance Questionnaire
OVERALL INFORMATION ON CONTRACT:
RESPONDENT INFORMATION:
Name of Respondent:
Title:
Signature of Respondent:
Address
Telephone Number:
Email Address:
PERFORMANCE INFORMATION
Choose the appropriate letter on the scale (E, VG, S, M, and U) that most accurately describes the Contractor’s performance or situation. Please provide a narrative explanation for any rating of U.
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective. |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective. |
| Performance meets contractual requirements. The contractual performance of the task and/or sub-task contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory. |
| Performance does not meet some contractual requirements. The contractual performance of the task and/or sub-task 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. |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the task and/or sub-task contains a serious problem(s) for which the Contractor’s actions appear or were ineffective. |
Place an “X” in the appropriate column using the definitions matrix above.
| The Contractor has: |
| E |
| VG |
| S |
| M |
| U |
| 1 |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2 |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3 |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4 |
| Home office participated in solving significant local problems. |
| 5 |
| Followed approved quality control plan. |
| 6 |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 7 |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 8 |
| Provided timely resolution of contract discrepancies. |
| 9 |
| Identified problems as they occurred. |
| 10 |
| Suggested alternative approaches to problems. |
| 11 |
| Displayed initiative to solve problems. |
| 12 |
| Developed realistic progress schedules. |
| 13 |
| Met established project schedules. |
| 14 |
| Provided timely resolution of warranty defects. |
| 15 |
| Was responsive to contract changes. |
| 16 |
| Provided adequate project supervision. |
| 17 |
| Obtained consent of surety for increases in bonding as work-in-progress increased. |
| 18 |
| Paid subcontractors/suppliers in a timely manner. |
| 19 |
| Provided accurate and complete line-item cost proposals including all aspects of work required for each task. |
| 20 |
| Cooperated with Government personnel after award. |
| 21 |
| How would you rate the contractor's overall performance? |
| 22 |
| Was the Contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks”. |
| Yes / No |
| 23 |
| Would you award another contract to this Contractor? If not, explain in “remarks”. |
| Yes / No |
| 24 |
| Is this Contractor rated in CPARS? |
| Yes / No |
Remarks:
70Z08526RLREP0005
Attachment 9
