Attachment6ForReferences.pdf

PERFORMANCE EVALUATION QUESTIONNAIRE

Person completing questionnaire: Phone No.:

Firm’s name: Date:

NOTE: Information obtained may be shared with Contractor if requested, but the name of person providing information will be kept confidential.

Contractor:

1. This contract is for:

Has this contractor performed any of these services for you? If yes, which ones and when was work completed?

Ratings Definitions:

Exceptional: Performance meets contractual requirements and exceeds many to the Government’s/owner’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: Performance meets contractual requirements and exceeds some to the Government’s/owner’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: 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: 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: 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.

2. Timeliness of Performance/Schedule Rating (see ratings definitions on Page 1)

☐Exceptional ☐Very Good

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., did the contractor meet the contract schedule, were they reliable and responsive to technical direction; were any liquidated damages assessed?

3. Management Rating (see ratings definitions on Page 1)

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., how effective was the contractor’s management, did they maintain a good working relationship with the Government/project owner, did they demonstrate cooperative behavior, recommend effective solutions to problems, and show businesslike concern for Government/project owner’s interests?

4. Quality Rating (see ratings definitions on Page 1)

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., was a quality product provided; to what extent did the contractor conform to good standards of workmanship; was deficient work identified and corrected, were any unspecified materials incorporated into the project?

5. Overall, to what extent were you satisfied with the contractor’s completed services?

☐Extremely satisfied ☐Generally satisfied

☐Generally dissatisfied ☐Extremely dissatisfied

Additional comments:

6. Given what I know today about the contractor’s ability to perform in accordance with a contract’s most significant requirements, I ________________ recommend them for similar requirements in the future.

☐WOULD ☐WOULD NOT