Attachment J.2 Past Performance Questionnaire.docx
DOCX document 34 KB Posted
- Attached to
- Crash Report Sampling System (CRSS) Sampling Operations Resource Center Federal contract opportunity
- Solicitation number
- 693JJ921R000018
About this file
This document contains a past performance questionnaire and details of a federal solicitation. The past performance questionnaire is a template for references to evaluate a contractor's performance on prior government contracts. It requests information on quality, timeliness, cost control, customer satisfaction, and any past performance issues.
The federal solicitation is from the National Highway Traffic Safety Administration to operate its Crash Report Sampling System, which collects a sample of police crash reports. The purpose is to acquire services for sampling operations, including police crash report collection, listing, sampling, and quality control activities. The contractor must ensure timeliness, accuracy, and consistency among samplers and quality control staff, as well as proficiency in police crash report collection and sampling. The period of performance and pricing terms are not specified.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions Answers J.8 RFP 693JJ920R000018.pdf | ||
| J.4 - Cost Proposal Template.xlsx | XLSX spreadsheet | |
| RFP 693JJ921R000018 CRSS Sampling.pdf | ||
| Attachment J.8 Q&A.docx | DOCX document | |
| J.5 Travel Cost Breakdown Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment J.3 Subcontract Checklist.docx | DOCX document | |
| J.7 Area Doc Attachment.pdf | ||
| J.6 Other Direct Cost Breakdown Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment J.1 Standard Form LLL, Disclosure of Lobbying Activities.pdf |
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Text version
693xxxxx Attachment J.2
PAST PERFORMANCE QUESTIONNAIRE
Source Selection Sensitive (when completed)
OFFEROR/TEAM:____________________________________________________________________
1. REFERENCE INFORMATION FOR:
Contractor:
Contract Number:
| Type of Contract: | ||
| ( ) Fixed Price Type | ( ) Cost-Reimbursement Type | ( ) Other: |
Period of Performance:
| Contract Value: |
| (initial) $ |
(current)..$
2. CONTACT INFORMATION: Please provide the following information for the person(s) providing the reference (to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary)
Name of Contact:
Phone & Fax Numbers:
Organization/Office:
Position Title/Grade:
Period of involvement in contract:
Questionnaire Completion Date:
PAST PERFORMANCE QUESTIONAIRE
For the following questions, please circle/check the appropriate rating. Comment lines are provided for additional information if the #2 or #1 rating is given (however the comment lines may be used to provide any additional information deemed noteworthy).
High
Low
QUALITY OF SERVICE:
This area deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.
TIMELINESS OF PERFORMANCE:
This area deals with the contractor’s ability to meet milestones and delivery schedules, to include responsiveness to technical direction, completion of efforts on time including wrap-up and contract administration.
PRICE/COST CONTROL:
This area deals with the contractor’s ability to control price/cost escalation during performance to include appropriate budgetary estimates, current/accurate/complete billings/invoices, relationship of negotiated costs to actual, claim submissions, cost efficiencies, and change order issues.
CUSTOMER SATISFACTION:
This area deals with the contractor’s commitment to satisfaction and cooperative/reasonable businesslike behavior with own staff and customers to include: effective management, responsiveness to clients or Government program personnel, operates with honesty and integrity, prompt notification of problems, flexible and proactive qualities, effective contractor-recommended solutions, and effective subcontracting and teaming arrangements.
Comments (attach additional pages as necessary):
GENERAL INFORMATION: Please provide answers to the following questions.
5. Has the contractor ever been given a cure notice, show cause notice, suspension of progress payments, or other letters directing the correction of a performance problem; or has this contract been partially or completely terminated, or is there any pending termination actions? ( ) No ( ) Yes
If yes: ( ) Default ( ) Convenience; and please explain:
| 6. | Changes in contract dollar value throughout the life of the contract are/were attributable, for the most part, to: | |||
| ( ) Government-issued change orders | ( ) claims submitted by the contractor | |||
| ( ) other Government actions | ( ) other contractor actions (please | |||
| explain below) |
| 7. | Based on this contractor’s overall performance, would you award this contractor |
| another Government contract? |
( ) Yes ( ) No If no, please explain:
8. If any of the above responses are based on adverse past performance, have you discussed it with the contractor and has the contractor had an opportunity to comment?
( ) Not Applicable ( ) Yes ( ) No If yes or no, please explain:
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