Attachment C - Past Performance Survey.docx
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- Solicitation number
- 15A00024R00000078
About this file
This document is a Past Performance Survey form to be completed by a government agency that has previously contracted with the referenced contractor. The survey requests information about the contractor's quality of service, timeliness of performance, business relations, management of key personnel, compliance with environmental/safety/security requirements, and overall assessment of past performance. Respondents are asked to rate the contractor's performance on a scale from Unsatisfactory to Exceptional and provide narrative explanations for any Unsatisfactory or Marginal ratings. The survey also inquires about any contractual issues such as Notices of Violations, Contract Discrepancy Reports, or decisions to not exercise contract options due to poor performance. Respondents are asked to provide an overall assessment of the contractor's past performance and indicate if they would hire the contractor again.
The related federal contract opportunity is for an All-Inclusive, Firearms Identification & Investigations Training Instructor for the Bureau of Alcohol, Tobacco, Firearms and Explosives' (ATF) National Academy. The contract will be reviewed annually to determine if the Blanket Purchase Agreement (BPA) should continue.
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PAST PERFORMANCE SURVEY
FOR OFFICIAL USE ONLY (When Filled In)
A. GENERAL INFORMATION:
Contractor’s Name:
Project Title or Brief Description of Work:
Contract Number Provided by Offeror:
Contract Dollar Amount: $
Types of work performed:
Contract Period or Dates of Performance Provided by Offeror: ___________________________
Contractor performed as the (1) Prime Contractor (2) Sub-Contractor _____________________
B. RESPONDENT INFORMATION (Point of Contact, Agency and Address):
POC Name:
Address:
Agency:
Phone: Fax: ______________ Email Address:
C. EMAIL COMPLETED SURVEY FORM TO: Completed forms should be emailed directly to agnes.brooks@atf.gov and should not be returned to the contractor.
D. PERFORMANCE INFORMATION: Choose the letter on the scale that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF U OR M.
Attachment 4
| U |
| M |
| N |
| S |
| VG |
| E |
| Unsatisfactory |
| Marginal |
| Neutral |
| Satisfactory |
| Very Good |
| Exceptional |
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| No record of past performance or the record is inconclusive. |
| Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner |
QUALITY OF SERVICE (Circle Response)
| 1 |
| Contractor's ability to meet minimum quality standards specified for performance |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 2 |
| Contractor's ability to effectively control the quality of services provided |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 3 |
| Contractor's compliance with contractual terms and conditions |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 4 |
| Overall rating of contractor's quality of service |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
TIMELINESS OF PERFORMANCE (Circle Response)
| 1 |
| Contractor's ability to meet specific response times and scheduled timeframes for completion of specific tasks. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 2 |
| Contractor's responsiveness/timeliness for providing |
administrative reports/documentations required by contract.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 3 |
| Contractor's timeliness in responding to emergency services |
requirements.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 4 |
| Overall rating of contractor's responsiveness/timeliness. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
BUSINESS RELATIONS (Circle Response)
| 1 |
| Contractor's ability to identify problems and potential problems and promptly notify the Contracting Officer |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 2 |
| Contractor's ability to correct problems and prevent or mitigate potential problems in a timely manner. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 3 |
| Contractor's willingness to improve and correct noncompliance issues or concerns. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 4 |
| Contractor's ability to use effective approaches and provide |
technical expertise and resources to solve contract problems.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 5 |
| Extent to which the contractor has demonstrated reasonable |
and cooperative behavior.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 6 |
| Contractor's working relationship with the Contracting Officer, |
quality assurance personnel, and customers.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 7 |
| Contractor's flexibility in satisfying the requirements of its |
customers.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 8 |
| Extent to which the contractor provided prompt and courteous service when responding to customer complaints. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 9 |
| Overall rating of business relations. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
MANAGEMENT OF KEY PERSONNEL (Circle Response)
| 1 |
| Contractor's ability to select and retain cooperative and effective key personnel, such as the contract manager and quality control personnel. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 2 |
| Extent key personnel were knowledgeable about contractual |
requirements.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 3 |
| Contractor's ability to meet appropriate staffing levels with |
qualified personnel in order to provide required services.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 4 |
| Overall rating of contractor's management of key personnel. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
COMPLIANCE WITH ENVIRONMENTAL, SAFETY, HEALTH, AND SECURITY REQUIREMENTS (Circle Response)
| 1 |
| Has the contractor ever received any Notices of Violations for |
noncompliance with environmental laws or regulations?
YES
NO
| 2 |
| Contractor's compliance with safety requirements. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 3 |
| Contractor's compliance with security requirements. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
CONTRACTUAL CONSIDERATIONS (Circle Response)
| 1 |
| Has an election ever been made not to exercise an option or |
continue relations due to contractor's poor performance?
YES
NO
| 2 |
| Has a Contract Discrepancy Report ever been issued? |
| YES |
NO
| 3 |
| Has a Cure Notice or Show Cause Notice ever been issued? |
| YES |
NO
| 4 |
| Extent to which the contractor provided reliable, supportable |
cost estimates or proposals.
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 5 |
| Overall rating of contractor's performance under this contract. |
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
| 6 |
| Would you hire this contractor again? |
| YES |
NO
WHAT IS YOUR OVERALL ASSESSMENT OF
PAST PERFORMANCE? (Circle Response)
| E |
| VG |
| S |
| N |
| M |
| U |
| N/A |
File details come from the government source that posted it. Updated .