Attachment D-A Past Performance Questionnaire 25Jan2022.pdf

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

RFQ Number: 80AFRC22R0001 AFRC Hazardous Waste Pickup

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

D. Contract number:

E. Contract type:

F. Was this a competitive contract? Yes No G. Period of performance:

H. Initial contract cost: $ I. Current/final contract cost: $ J. Reasons for differences between initial contract cost and final contract costs:

K. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other

Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone number/email:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

5 EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

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

N/A NOT APPLICABLE - Unable to provide a score.

A. CONTRACT PERFORMANCE

N/A

PP1: Rate the firm’s knowledge and expertise

PP2: Rate the vendor’s flexibility relative to changes in the project scope and timeliness

PP3: Rate your level of satisfaction with soft and/or hard copy materials produced by the vendor

PP4: Rate the dynamics/interaction between the vendor and your staff

PP5: Rate your satisfaction with the products developed by the vendor.

PP6: Rate how well the agreed upon, planned schedule was consistently met and deliverables provided on time. (This pertains to delays under the control of the vendor).

PP7: Rate the overall customer service and timeliness in responding to customer service inquiries, issues, and resolutions.

PP8: Rate the knowledge of the vendor’s assigned staff and their ability to accomplish duties as contracted.

PP9: Rate the accuracy and timeliness of the vendor’s billing and/or invoices.

PP10: Rate the vendor’s ability to quickly and thoroughly resolve a problem related to the services provided.

PP11: Rate the vendor’s flexibility in meeting business requirements.

PP12: Rate the likelihood of your company/organization recommending this vendor to others in the future.

PP13: Rate the vendor’s responsiveness to emergency calls

Please discuss response for which you scored with a 1 or 2 in response to the questions above (use additional sheets, if necessary).

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire no later than February 15, 2022 to:

E-Mail: robbin.m.kessler@nasa.gov