Attachment B-Past Performance Survey.docx
DOCX document 28 KB Posted
- Solicitation number
- 19AQMM21R0039
About this file
This document contains a past performance survey template for evaluating contractors providing overseas systems furniture installation services. The survey requests information about a contractor's past performance on a specific contract, and evaluates performance across criteria such as conformance to specifications, adherence to schedule, business conduct, and compliance with contract terms and conditions. Respondents are asked to provide ratings on a scale of unacceptable, acceptable, and exceptional for sub-criteria within each category. The template collects contact information for the respondent and details of the contract being evaluated.
The related federal contract opportunity is a solicitation from the Department of State Office of Acquisition Management for overseas systems furniture installation services. The solicitation number is 19AQMM21R0039 A004, with proposals due by February 1, 2020. The government intends to make multiple awards from an indefinite-delivery/indefinite-quantity contract. One of the three planned contracts is set aside for woman-owned small businesses. Vendors must be registered in the System for Award Management to be eligible to submit a proposal.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment B
PAST PERFORMANCE SURVEY
Furniture Installation Services
19AQMM21R0039
CONTRACT INFORMATION
Please provide the following information to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary.
a. Contractor: ____________________________________________
b. Contract Number: _______________________________________
Name of Evaluator: _________________________________________
Telephone Number: ________________________________________
Facsimile Number: _________________________________________
Organization/Office Symbol: ________________________________
Mailing Address: __________________________________________
Position/Title/Grade: _______________________________________
Length of Involvement with Contract: __________________________
Degree or extent of involvement with contract: ___________________
Period of Performance: __________ to ___________
Initial Contract Value: $___________________
Current or Completed Contract Value $___________________
Brief Description of Requirement: __________________________________________
Complexity of Effort: ( )Difficult ( )Routine
Thank you in advance for completing this survey. THIS INFORMATION WILL BE PROTECTED IN ACCORDANCE WITH FAR 15.1004 (e).
SCORING CRITERIA
EXCEPTIONAL - Indicates the Contractor's performance within the area of evaluation clearly and consistently exceeds contractual requirements.
ACCEPTABLE - Indicates no problem in area of evaluation or has only minor problems for which solutions were satisfactory.
UNACCEPTABLE - Indicates serious problems in the evaluation area. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.
l. CONFORMANCE TO SPECIFICATIONS AND STANDARDS OF GOOD WORKMANSHIP 1a. Overall ability to pro-actively and aggressively perform contract requirements.
Please circle the appropriate rating below or check if N/A.
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________
1b. Effectiveness and reliability of contractor's Key Personnel.
Please circle the appropriate rating below or check if N/A.
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments:______________________________________________________________
1c. Ability to effectively implement "start up" contract performance.
Please circle the appropriate rating below or check if N/A.
| 0 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments:______________________________________________________________
ll. ADHERANCE TO CONTRACT SCHEDULE 2a. Overall performance in planning, scheduling, and monitoring.
Please circle the appropriate rating below or check if N/A.
| 0 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ________________________________________________________________
2b. Completion of major milestones on schedule.
Please circle the appropriate rating below or check if N/A.
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ________________________________________________________________ 2c. Timely completion within period of performance.
Please circle the appropriate rating below or check if N/A.
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
III. GENERAL BUSINESS CONDUCT AND BUSINESS-LIKE CONCERN FOR THE CUSTOMER
3a. Responsiveness and flexibility in responding to changes.
Please circle the appropriate rating below or check if N/A.
| · 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________ 3b. Responsiveness/capability to respond to surge/short term requirements.
Please circle the appropriate rating below or check if N/A.
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ___________________________________________________________ 3c. Accuracy and completeness of vouchers/invoices.
Please circle the appropriate rating below or check if N/A
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: __________________________________________________________
IV. COMPLIANCE WITHT THE TERM AND CONDITIONS OF THE CONTRACT
4a. Quality, completeness, and accuracy of the price proposals.
Please circle the appropriate rating below or check if N/A
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________ 4b. Accuracy and timeliness of required reports.
Please circle the appropriate rating below or check if N/A
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________ 4c. Ability to perform within negotiated prices.
Please circle the appropriate rating below or check if N/A
| 0 1 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Unacceptable | Acceptable | Exceptional |
Comments: ____________________________________________________________ image4.jpg image1.jpg image2.jpg image3.jpg
File details come from the government source that posted it. Updated .