Attachment III - Past Performance Questionnaire.docx
DOCX document 34 KB Posted
- Attached to
- OMAO Maritime Medical Support Services Federal contract opportunity
- Solicitation number
- 1305M220QNMAN0103
About this file
This document contains a past performance questionnaire template for evaluation of contractors under contract number 1305M220QNMAN0103 for OMAO Maritime Medical Support Services. The questionnaire is to be completed by a reference for the contractor's past performance and relates specifically to quality of service, schedule, and management. It requires ratings in these categories using an adjectival system of exceptional, very good, satisfactory, marginal, and unsatisfactory. Narrative comments are also requested. The completed questionnaire must be returned to frank.burton@noaa.gov by April 7, 2020 at 12:00 PM EST. The opportunity is a solicitation issued by the Department of Commerce National Oceanic and Atmospheric Administration for maritime medical support services. No further details are provided on products, services, pricing, or other terms required by the solicitation.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0002.pdf | ||
| Amendment 0001.pdf | ||
| 1305M220QNMAN0103_COMBINED SYNOPSIS-SOLICITATION.pdf | ||
| Attachment IV - Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment II - Past Performance Information Form.pdf | ||
| Attachment I - Maritime Medical Support Services.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
| REFERENCE CONTRACT #: | _______________________________ | |
| (the contract the evaluation is based on) |
Evaluator’s Name:___________________________
Evaluator’s email: ____________________ Evaluator’s Phone Number: _______________
Evaluator’s Agency or Company Name: ____________________________
Send Completed Questionnaire to frank.burton@noaa.gov no later than April 7, 2020, 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
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:
Source Selection Information
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 |
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.
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.
Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were
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.
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. 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 |
Performance meets contractual requirements and exceeds many accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
Performance meets contractual requirements and exceeds some accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were
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.
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.
ADDITIONAL COMMENTS, IF ANY:
Rater’s Name: Rater’s Signature: Date:
Send Completed Questionnaire to frank.burton@noaa.gov no later than April 7, 2020, 12:00 PM EST.
File details come from the government source that posted it. Updated .