Attachment III - Past Performance Questionnaire.pdf

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Attached to
NOAA Ship Bell M. Shimada Drydock Repairs FY 2023
Solicitation number
1305M222QNMAN0074
Issued by

About this file

This document contains a past performance questionnaire template to be used for evaluation in solicitation number 1305M222QNMAN0074 for drydock repairs of the NOAA ship Bell M. Shimada in fiscal year 2023. Respondents are to provide references that will receive the questionnaire to assess the contractor's performance on a previous contract in factors such as quality of service, schedule, and management. References must complete and return the questionnaire by July 19, 2022 to the identified contracting specialist at NOAA. The solicitation seeks vendor proposals for ship repair services to be conducted by the Department of Commerce's National Oceanic and Atmospheric Administration.

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Text version

Solicitation #: 1305M222QNMAN0074

Attachment: III

Source Selection Information

PAST PERFORMANCE QUESTIONNAIRE

REFERENCE CONTRACT #: ___________________________ (Contract number of the

Past Performance this information is based on)

Send Completed Questionnaire to Contract Specialist, Kelani Lawrence no later than July 19, 2022 at 4:00 pm Eastern Daylight Time (EDT):

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:

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).

to the Government’s benefit. The element being assessed was to the Government’s benefit. The element being assessed was 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 recovery is not likely in a timely manner. The element being

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.

to the Government’s benefit. The element being assessed was to the Government’s benefit. The element being assessed was 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 recovery is not likely in a timely manner. The element being

ADDITIONAL COMMENTS, IF ANY:

Rater’s Name: ___________________________

Rater’s Signature: ________________________

Date: ____________________________________

Send Completed Questionnaire to Contract Specialist, Kelani Lawrence, no later than July 19, 2022 at 4:00 pm Eastern Daylight Time (EDT):

Kelani.Lawrence@noaa.gov mailto:Kelani.Lawrence@noaa.gov

File details come from the government source that posted it. Updated .