Attachment i - Past Performance Questionnaire.docx
DOCX document 43 KB Posted
- Attached to
- iTRS Federal contract opportunity
- Solicitation number
- 273FCC24R0019
- Issued by
- Federal Communications Commission
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. It requests the evaluator to provide an assessment of the contractor's performance across various criteria including quality of products and services, schedule, performance requirements, resource management, customer satisfaction, and overall performance. The questionnaire is related to Solicitation Number 273FCC24R0019 for Internet-based Telecommunications Relay Services (iTRS), issued by the Federal Communications Commission. The questionnaire is to be completed by the evaluating organization representative and returned to the Contracting Officer, Kadian Ferguson, via email. The questionnaire is considered Source Selection Information and must be protected accordingly.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1. iTRS SOW.pdf | ||
| 273FCC24R0019.pdf | ||
| Attachment 2. Wage Determination 15-4281.pdf |
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Text version
Attachment i
273FCC24R0019
PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email:Kadian.Ferguson@FCC.Gov
When complete, the information on this form is SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1. A. CONTRACTOR NAME & ADDRESS:
1.B. NAME OF PRIME OFFEROR, if this questionnaire is for a team member:
2. CONTRACT/SUBCONTRACT NO.:
3. CONTRACT/SUBCONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT/SUBCONTRACT VALUE (with options):
6. TYPE OF CONTRACT (Fixed Price, GMP, FPI, etc.):
7. PROJECT TITLE, LOCATION, AND DESCRIPTION (INCLUDING TOTAL CONSTRUCTION VALUE):
Please add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE
NUMBER:
c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
9. Please circle the response code for each topic (A – F) that best reflects your experience with this contractor.
O = Outstanding E = Excellent
A = Acceptable M = Marginal
U = Unacceptable N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship.
O E A M U N/O B. Schedule – Assess the timeliness of contractor against the schedule of activities.
O E A M U N/O C. Performance Requirements – Assess the contractor’s ability to fulfill the performance requirements of the contract.
O E A M U N/O D. Resource Management – Assess the contractor’s ability to provide and maintain personnel and other resources for the contract.
O E A M U N/O E. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
| O |
| E |
| A |
| M |
| U |
| N/O |
F. Overall Performance Assessment
O
E
A
M
U
N/O
10. If this was an award fee contract, what was the average award fee % earned?
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