Attachment J-006 - Past Performance Questionnaire.pdf

Attachment J-006 | Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection. When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly. Please complete this Questionnaire and send within five (5) days of receipt by email to: acquisitions@saa.senate.gov

SOLICITATION NUMBER: 2026-R-038

A. TO BE COMPLETED BY CONTRACTOR: Contract/Project/Task Order Information. Please complete the general contract information below:

Name of Company/Contractor: ____________________________________________________

Contract/Task Order Number: _____________________________________________________

Contract Type: _________________________________________________________________

Project Title: ___________________________________________________________________

Performance Period: _____________________________________________________________

B. TO BE COMPLETED BY EVALUATOR: Evaluator/Agency Information

Company/Agency Name: _________________________________________________________

Name of Person Completing Questionnaire: __________________________________________

Signature of Person Completing Questionnaire: _______________________________________

Your Role in this Contract: _______________________________________________________

Your Phone Number: ___________________________________________________________

Your Email Address: ____________________________________________________________

Time Period of Your Involvement with Contractor: ____________________________________

Brief Description of Work (please include the URL of the site the Contractor developed for you):

For each question posed below, please circle the response code which best reflects your experience with the Contractor:

EX

Exceptional -- Performance meets all contract/task order requirements and exceeds many.

The Contractor’s performance on the project was accomplished with few/no minor problems for which corrective actions taken by the Contractor were highly effective.

VG

Very Good--Performance meets all contract/task order requirements and exceeds some.

The Contractor’s performance on the project was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

S Satisfactory -- Performance meets all contract/task order requirements. The Contractor’s performance contained some minor problems for which corrective actions taken by the Contractor appear to be or were satisfactory.

MG

Marginal -- Performance does not meet some contract/task order requirements. The Contractor’s performance indicates a serious problem(s) for which the Contractor has not yet identified corrective action(s). The Contractor’s proposed actions are only marginally effective or were only partially implemented.

US

Unsatisfactory-- Performance does not meet most/any contract/task order requirements.

The Contractor’s performance indicates a serious problem(s) for which the Contractor’s corrective actions were ineffective.

N/A Not Applicable or Not Observed

PAST PERFORMANCE QUESTIONNAIRE Solicitation# 2026-R-038

A.1 QUALITY OF PRODUCTS AND SERVICES: Assess the Contractor’s performance regarding contract/task order requirements and specifications, problem identification, and corrective actions.

Problem Anticipation/Prevention EX VG S MG US N/A

Problem Resolution EX VG S MG US N/A

Thoroughness EX VG S MG US N/A

Accuracy EX VG S MG US N/A

Overall Quality EX VG S MG US N/A

Comments:

A.2 QUALITY OF CAPABILITIES

Expertise and Knowledge of Personnel assigned to the contract/task order EX VG S MG US N/A

Ability to provide ongoing application support EX VG S MG US N/A

Ability to provide applicable and effective solutions

EX VG S MG US N/A

Comments:

A.3 QUALITY OF DELIVERABLES: Assess the Contractor’s delivery of goods and services in the following categories:

Project Management EX VG S MG US N/A

Testing and Quality Assurance EX VG S MG US N/A

Training EX VG S MG US N/A

Software Maintenance EX VG S MG US N/A

B SCHEDULE: Assess the ability of the Contractor to deliver goods and services according to forecasted milestones and delivery schedules.

Services EX VG S MG US N/A

Products EX VG S MG US N/A

C COST AND BUDGET CONTROL: Assess the Contractor’s effectiveness in forecasting, managing, and controlling contract/task order cost.

Performed within Estimates EX VG S MG US N/A

Budget Control EX VG S MG US N/A

Comments:

D CUSTOMER SATISFACTION: Assess the Contractor’s accuracy and quality of proposal submission, history of reasonable and cooperative behavior, responsiveness.

Requirements Gathering EX VG S MG US N/A

Documentation EX VG S MG US N/A

Interaction with Users EX VG S MG US N/A

Responsiveness with Users EX VG S MG US N/A

Comments:

E MANAGEMENT OF KEY PERSONNEL: Assess the Contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, Key Personnel.

Met Contract Requirements EX VG S MG US N/A

Retention EX VG S MG US N/A

Replacement Speed and Quality EX VG S MG US N/A

Transition to New Key Personnel EX VG S MG US N/A

F OVERALL ASSESSMENT EX VG S MG US N/A

G. Has the software/website developed for you by this Contractor been acceptable?

( ) Yes ( ) No

If no, what was the reason(s)?

H. Would you contract with this firm again? ( ) Yes ( ) No

If no, why not?

PLEASE PROVIDE ANY FURTHER COMMENTS TO IDENTIFY:

1. Specific strength/weaknesses related to Parts A-H above.

2. Areas of performance that were troublesome.