Attachment C Past Performance Questionaire.docx

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Attached to
Carbon Pollution-Free Electricity (CFE) Specialized Support Services for Power Purchase Agreements (PPAs) Federal contract opportunity
Solicitation number
PBS-CFE2-0002
Issued by
General Services Administration Public Buildings Service

About this file

This document is a past performance questionnaire template for a federal contractor to provide feedback on a previous contract. The template requests information on the contract such as the contractor, number, type, period of performance, annual and total value. It asks the contractor to rate their past performance on technical effectiveness/timeliness and management effectiveness using ratings of Excellent, Good, Fair, Poor, and Unsatisfactory. Factors evaluated under technical effectiveness include adherence to milestones and schedules, flexibility, risk management, resolution of delays and problems, and personnel appropriateness. Factors under management effectiveness include compliance, communication, personnel effectiveness and recruitment, project management, cost estimation and control, performance monitoring, and problem notification and resolution. Space is provided for remarks on outstanding and unsatisfactory performance.

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ATTACHMENT C: PAST PERFORMANCE QUESTIONNAIRE

Contract Information:

Contractor: ___________________________________________________________

Contract Number: ______________________________________________________

Type of Contract: Negotiated ______ Sealed Bid ______Fixed price _____
Cost Reimbursement _______Other (specify) _______

Period of Performance: From ______________ To _________________________

Annual Contract Value: $_____________ Total Contract Value: $___________

Prime Contractor: Yes________ No__________

Brief description of requirement: __________________________________________

The Performance measures are as follows:

· Technical Effectiveness/Timeliness of Performance

· Management Effectiveness

The adjectival rating categories are provided below for your guidance.

EXCELLENT (E):
Contractor demonstrates initiative to enhance/exceed contractual requirements/objectives and overall Contractor-Government relationship is exceptional.
GOOD (G):
There are no quality-of-service problems and/or nonconformances do not impact achievement of contract goals.
FAIR (F):
Nonconformances are minor and have little impact on achievement of contract goals; minor Government intervention is needed to resolve issues
POOR (P):
Nonconformances are impacting achievement of contract goals; substantial Government intervention is needed to resolve issues.
UNSATISFACTORY (U):
Nonconformances are compromising the achievement of contract goals, despite substantive intervention by Government personnel.

If a marginal or unacceptable rating is given, please discuss on Page 3. If a question is not applicable, so indicate.

PAST PERFORMANCE QUESTIONNAIRE continued ……. (Page 2)

TECHNICAL EFFECTIVENESS/TIMELINESS OF PERFORMANCE

This area of the questionnaire deals with contract compliance, requirements, to include appropriateness of personnel and technical excellence and the Contractor’s ability to meet milestones and delivery schedules.

LEGEND:

E = Excellent G = Good F = Fair P = Poor U = Unsatisfactory N/A = Not applicable

FACTORS/RATINGS

E

G

F

P

U

N/A

Adherence to and completion of major tasks, milestones, and deliverables on schedule. Adherence to project start and completion dates.

Flexibility and responsiveness to technical direction (including changes in technical direction).

Ability to identify risk factors and take measures to alleviate risk.

Effective resolution of contractor-caused delays and/or problems.

Ability to identify and solve problems expeditiously, and avoid revisions and/or rework.

Technical excellence, consistency and reliability.

Appropriateness of personnel.

Overall Rating for this measure: _______________________________________________

MANAGEMENT EFFECTIVENESS

This area deals with the Contractor’s overall communications with the government, effectiveness and reliability of key personnel, ability to recruit and maintain qualified personnel, ability to manage multiple and diverse projects from planning through execution, accurate estimate and control cost, overall performance in planning, scheduling and monitoring, management initiatives and prompt notification of problems.

FACTORS/RATINGS

E

G

F

P

U

N/A

Overall compliance with contract terms and conditions.

Overall communication with the Government (fact-based).

Effectiveness and reliability of Contractor’s key personnel.

Ability to recruit and maintain qualified personnel.

Ability to manage multiple and diverse projects/tasks from planning through execution.

Ability to accurately estimate and control cost to complete tasks.

Overall performance in planning, scheduling, and monitoring.

Promptly notifies Government of problems.

Ability to resolve performance problems

Overall Rating for this measure: _______________________________________________

PAST PERFORMANCE QUESTIONNAIRE continued …..(Page 3)

Information Provided By:

1. Name: _______________________________________

2. Position Title/Grade: _______________________________________

3. Organization: _______________________________________

4. E-Mail: _______________________________________

5. Mailing Address: _______________________________________

6. Telephone Number: _______________________________________

7. Length of Involvement in Contract: _______________________________

8. Questionnaire Completion Date: _________________________________

9. Remarks on outstanding performance: (Continue on separate sheet if necessary)

10. Remarks on unsatisfactory performance: (Continue on separate sheet if necessary)

Note: If verbal telephonic response received, complete the following:

Information obtained by: _________________________________________________________ Printed Name

Signature

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