Attachment L-7 -Past Performance Questionnaire 05.29.25 4 pages.docx
DOCX document 46 KB Posted
- Attached to
- DOE/NNSA Clearance Action Tracking System (CATS) Development & Maintenance Support Services.
- Solicitation number
- 89233125RNA000262
About this file
This document is a Past Performance Questionnaire for the Department of Energy, National Nuclear Security Administration's Solicitation #89233125RNA000262 for the Clearance Action Tracking System (CATS) Development & Maintenance Support Services. The questionnaire is designed to assess a contractor's performance across multiple evaluation areas, including quality of products/services, timeliness of performance, cost control, business practices, safety and health compliance, and overall customer satisfaction.
The evaluation form provides a comprehensive rating system ranging from Exceptional (E) to Unsatisfactory (U), with criteria covering contract compliance, technical report accuracy, deliverable completion, cost management, personnel allocation, subcontract management, responsiveness, safety adherence, and customer satisfaction. The questionnaire is to be completed by the contractor's client and returned to Ms. Tamra Barela via email at tamra.barela@nnsa.doe.gov, with no specified page limit. The document is dated 4/18/2025 and is part of the procurement process for NNSA's CATS system, which manages personnel vetting requirements for federal and contractor workforces.
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Text version
Solicitation # 89233125RNA000262 Attachement L-7 4/18/2025
PAST PERFORMANCE QUESTIONNAIRE
Due date:
Contract Number: Click or tap here to enter text.
The Department of Energy, National Nuclear Security Administration is interested in your assessment of the named company’s performance on your contract for the purpose of utilizing this information to evaluate the contractor’s past performance.
I. CONTRACT INFORMATION
1. This questionnaire relates to work performed by (Name of Contractor/Company/Division):
Click or tap here to enter text.
at (name and location of contract):
Click or tap here to enter text.
2. Contract Number:
Click or tap here to enter text.
Yes☐ No☐
If “No,” why not?
Click or tap here to enter text.
3. Contract Value:
| Initial Amount |
| Current Amount |
| Estimated Cost | |
| Click or tap here to enter text. | Click or tap here to enter text. |
| Fixed Price | |
| Click or tap here to enter text. | Click or tap here to enter text. |
| Fee/Profit | |
| Click or tap here to enter text. | Click or tap here to enter text. |
| Total Value | |
| Click or tap here to enter text. | Click or tap here to enter text. |
*Should reflect any contract value increases/decreases since initial contract award
PAST PERFORMANCE QUESTIONNAIRE (CONTINUED)
II. PAST PERFORMANCE EVALUATION
| Exceptional (E) |
| Performance meets contractual requirements and exceeds many to the customer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good (V) |
| Performance meets contractual requirements and exceeds some to the customer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory (S) |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal (M) |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory (U) |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Neutral (N) |
| An offeror without a record of relevant past performance or for whom information on past performance is not available, a rating of neutral will be assigned. |
Please rate the Contractor as “Exceptional (E), “Very Good” (V), “Satisfactory” (S), “Marginal” (M), “Unsatisfactory” (U) or Neutral (N) in the following areas:
A. QUALITY OF PRODUCT OR SERVICES
1. Compliance with contract terms and conditions.
Rating: Click or tap here to enter text.
2. Quality of services and support provided including content and accuracy of technical, cost, or other reports.
Rating: Click or tap here to enter text.
B. TIMELINESS OF PERFORMANCE
Timely completion of deliverables and/or milestones on tasks.
Rating: Click or tap here to enter text.
C. COST CONTROL
1. Adherence to target costs on the contract level and at the task level.
Rating: Click or tap here to enter text.
2. Cost overrun and change proposals submitted were reasonably priced and contained all appropriate supporting documentation.
Rating: Click or tap here to enter text.
D. BUSINESS PRACTICES
1. Contractor’s skills in efficiently and effectively allocating and directing personnel and resources to meet customer needs.
Rating: Click or tap here to enter text.
2. Contractor’s ability in developing and managing subcontracts and consulting agreements.
Rating: Click or tap here to enter text.
3. Contractor’s reasonable and cooperative behavior, flexibility, as well as their responsiveness to inquiries from your organization’s technical and contract representatives.
Rating: Click or tap here to enter text.
4. Contractor’s ability to recruit and retain qualified personnel.
Rating: Click or tap here to enter text.
E. SAFETY AND HEALTH COMPLIANCE
Contractor demonstrates conformance with contract safety and health requirements.
Rating: Click or tap here to enter text.
PAST PERFORMANCE QUESTIONNAIRE (CONTINUED)
F. CUSTOMER SATISFACTION
1. Were there any significant problems encountered by the Contractor? Yes ☐ No ☐ If yes, state the problem(s), what corrective actions were taken by the Contractor, and indicate whether you consider these corrective actions to be effective?
Click or tap here to enter text.
| 2. | Please comment on the overall satisfaction of your organization with the contractor’s performance. |
| Click or tap here to enter text. |
| 3. | Additional comments both positive and negative (please address any unfavorable ratings identified from Part II, above). |
| Click or tap here to enter text. |
III. RESPONDENT INFORMATION
1. Name of Evaluator(s): Click or tap here to enter text.
2. Position Title: Click or tap here to enter text.
3. Organization Name and Mailing Address:
Click or tap here to enter text.
4. Telephone NumberClick or tap here to enter text. Fax Number:Click or tap here to enter text.
5. E-mail Address: Click or tap here to enter text.
6. Date Questionnaire Completed: Click or tap here to enter text.
Please return the questionnaire by any method as follows:
E-mail: tamra.barela@nnsa.doe.gov
For questions, please contact Ms. Tamra Barela at (505) 845-4406
THANK YOU FOR YOUR TIME IN COMPLETING THIS QUESTIONNAIRE!
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