Attachment D-Past Performance Questionnaire.pdf

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Attached to
OMAO/Occupational Health Support Services
Solicitation number
1305M224Q0073
Issued by

About this file

This document is a Past Performance Questionnaire related to Solicitation 1305M224Q0073 for OMAO/Occupational Health Support Services. The Questionnaire assesses the contractor's past performance in four key areas: quality of service, schedule, cost control, and management. Raters are asked to provide an adjectival rating (exceptional, very good, satisfactory, marginal, or unsatisfactory) and comments for each area.

The completed questionnaire is to be submitted to Amy McLiverty at amy.l.mcliverty@noaa.gov by May 10, 2024, 12:00 PM EST. This Questionnaire is part of the source selection information for the solicitation, which is being issued by the Department of Commerce National Oceanic and Atmospheric Administration (NOAA) for OMAO/Occupational Health Support Services. No other details about the solicitation requirements or scope of work are provided in this document.

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ATTACHMENT D:

PAST PERFORMANCE

QUESTIONNAIRE

SOLICITATION 1305M224Q0073

Source Selection Information

PAST PERFORMANCE QUESTIONNAIRE

CONTRACTOR BEING REVIEWED:

PERSON COMPLETING

QUESTIONNAIRE:

REFERENCE CONTRACT #:

BRIEF DESCRIPTION:

Send Completed Questionnaire to Amy McLiverty at amy.l.mcliverty@noaa.gov no later than May 10, 2024, 12:00 PM EST.

1. QUALITY OF SERVICE

Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, or environmental standards).

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Comments:

mailto:amy.l.mcliverty@noaa.gov

Source Selection Information

2. SCHEDULE

Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule variance).

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

3. COST CONTROL

Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the

4. MANAGEMENT

Assess the integration and coordination of all activities needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior, and customer satisfaction.

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the

ADDITIONAL COMMENTS, IF ANY:

Rater’s Name: ___________________________

Rater’s Signature: ________________________

Date: ____________________________________

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