Attachment III Past Performance Questionnaire.docx
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- Solicitation number
- 1305M223QNMAN0170
About this file
This document contains a past performance questionnaire template for evaluating contractor performance on a previous federal contract. The questionnaire requests ratings on quality of service, schedule, and management for contract number provided. It includes five rating levels from exceptional to unsatisfactory with definitions. The evaluator is asked to provide their contact information and return the completed questionnaire by October 2, 2020 to an email address provided for a NOAA contract for replacing the public address, general alarm, and dial phone systems on four NOAA ships.
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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 jim.vannatta@noaa.gov no later than October 2, 2020 12:00 PM Eastern Standard Time (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 October 2, 2020 12:00 PM EST.
File details come from the government source that posted it. Updated .