Attachment_No__4_-_Relevant_Past_and_Present_Performance_Questionnaire.docx
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- Environmental Services Contract Federal contract opportunity
- Solicitation number
- 140D0422R0077
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U.S. Department of the Interior Solicitation No. 140D0422R0077 – Environmental Services Contract Relevant Past and Present Performance Questionnaire When completed, this document is Source Selection Sensitive in accordance with FAR 3.104
Please return this completed questionnaire to juan_rendon@ibc.doi.gov
Section 1: Contract Identification
| A. Contractor: | Click here to enter text. | ||
| B. Contract number: | Click here to enter text. | ||
| C. Order Number: | Click here to enter text. | ||
| D. Contract type: | Click here to enter text. | ||
| E. Was this a competitive contract? | Click here to enter text. | ||
| F. Period of performance: | Click here to enter text. | ||
| G. Place of performance: | Click here to enter text. | ||
| H. Initial contract cost: | Click here to enter text. | ||
| I. Current/final contract cost: | Click here to enter text. | ||
| J. Reasons for differences between initial contract cost and final contract costs, if any: | Click here to enter text. | ||
| K. Description of service provided: | Click here to enter text. | ||
| L. Geographic description of services under this contract, i.e. local, multistate, nationwide, worldwide, other (describe): | Click here to enter text. | ||
| M. Are you bound by a non-disclosure agreement or court order, which would prohibit you from responding to questions regarding any previous acquisition(s)? | Click here to enter text. |
Section 2: Customer or Agency Identification
| A. Customer or Agency Name: | Click here to enter text. | |
| B. Evaluator's Name: | Click here to enter text. | |
| C. Evaluator's Title: | Click here to enter text. | |
| D. Evaluator's Phone: | Click here to enter text. | |
| E. Evaluator's E-mail: | Click here to enter text. | |
| F. Number of year’s evaluator worked on subject contract: | Click here to enter text. |
Section 3: Evaluation Ratings
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided for each question. The rating scale is defined as follows:
| Rating |
| Abbreviation |
| Description |
| Exceptional |
| E |
| Performance met all contractual requirements and exceeded many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| VG |
| Performance met contractual requirements and exceeded some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Acceptable |
| A |
| Performance met contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| M |
| Performance did not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented. |
| Unacceptable |
| U |
| Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective. |
| Not Applicable |
| NA |
| Unable to provide a score. Performance in this area is not applicable to effort assessed. |
Section 4: Evaluation Factors
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided for each question. The rating scale is defined in the above section.
| 1. Quality of Product or Service |
| E |
| VG |
| A |
| M |
| U |
| NA |
a. Ability to understand, comply and meet customer objectives and technical requirements.
b. Compliance with contract delivery schedules and quality of technical data/report submittals.
c. Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.
d. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)
e. Contractor proposed alternative methods/processes that improved the product or service which benefited the customer.
f. Quality/effectiveness of sub-contracted efforts.
g. Provide an overall rating for the work performed by this contractor.
| 2. Program Management and Timeliness |
| E |
| VG |
| A |
| M |
| U |
| NA |
a. Effectiveness of overall contract management involving multiple projects with multiple disciplines (including ability to effectively lead, manage and control the program).
b. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.
c. Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).
d. Effectiveness of material management (including Government Furnished Property or Material).
e. Contractor implemented, responsive/flexible processes to improve quality and timeliness of support.
f. Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes.
g. Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and labor force?
h. To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)
i. Contractor complied with all security requirements for the project and personnel security requirements.
| 3. Transition/Phase-in and Staff Support |
| E |
| VG |
| A |
| M |
| U |
| NA |
a. Ability to smoothly transition resources and personnel.
b. Ability to maintain continuity while transitioning/phasing in resources and personnel to support other efforts.
c. Ability to hire/apply a qualified workforce to this effort.
d. Ability to retain a qualified workforce on this effort.
e. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication)
| 4. Cost Control |
| E |
| VG |
| A |
| M |
| U |
| NA |
a. Accuracy in forecasting contract costs.
b. Ability to meet forecasted costs and perform within contract costs.
c. Ability to alert Government of unforeseen costs before they occur.
d. If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)
e. Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.
f. Contractor proposed alternative methods/processes that reduced cost of product or service which benefited the customer.
| 5. General (Yes or No) |
| Y |
| N |
a. Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.
b. If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.
c. Have there been any indications that the contractor has had any financial problems? If yes, please explain below.
d. Would you hire or work with this firm again? (If no, please explain below)
Section 5: Narrative Summary
1. What were the contractor’s greatest strengths in the performance of the contract?
| Click here to enter text. |
| 2. What were the contractor’s greatest weaknesses in the performance of the contract? |
| Click here to enter text. |
| 3. Would you hire this contractor in the future to perform one of your critical and demanding programs? |
| Click here to enter text. |
| 4. Please provide any additional comments concerning this contractor’s performance, as desired. |
| Click here to enter text. |
| 5. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? |
| Click here to enter text. |
| 5a. If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc). |
Click here to enter text.
| _____________________________________ | _____________________ | |
| Evaluator’s Signature | Date |
Thank you for your prompt response and assistance!
Please return this completed questionnaire to Juan Rendon at juan_rendon@ibc.doi.gov, Source Selection Information – FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .