Attch_5_Past_Performance_Questionnaire.docx
DOCX document 30 KB Posted
- Solicitation number
- 140D0424Q0127
About this file
This document contains a past performance questionnaire template and information about a related federal contract opportunity for operations and maintenance services at the National World War II Memorial in Washington, D.C. The past performance questionnaire is to be completed by references for offerors responding to Solicitation 140D0424Q0127, an Indefinite Delivery Indefinite Quantity vehicle and initial task order for preventative maintenance, emergency and non-emergency repairs issued by the Interior Business Center on behalf of the National Park Service's National Mall and Memorial Parks. The questionnaire requests details on prior contracts such as award dates, values, periods of performance, and ratings on factors including quality, timeliness, and program management. It also includes space for a narrative summary. The federal contract opportunity notice provides additional context, identifying the solicitation number, type of requirement, and agency information.
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Attachment 5 – Past Performance Questionnaire Solicitation 140D0424Q0127
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A. Offeror:___________________________________________________________________
B. Agency/Customer:___________________________________________________________
C. Contract Title:______________________________________________________________
D. Contract number: ____________________________________________________________
E. Contract type: _______________________________________________________________
F. Award Date: ________________________________________________________________
G. Completion Date: ____________________________________________________________
H. Contract Value:
| Initial: _____________________________________________ |
| Final: ______________________________________________ |
I. Period of performance: _______________________________________________________
J. Offeror Role (Prime or Sub): __________________________________________________
K. Government Point of Contact:
| Name:________________________________________________________ |
| Email Address:_________________________________________________ |
| Telephone Number:_____________________________________________ |
L. Project Description
Please return this form to the contractor that has submitted for evaluation, they will provide with their quote submission.
If uncomfortable with providing directly to the contractor, please submit a copy to:
Moriah Fobbs, moriah_fobbs@ibc.doi.gov
SECTION 2: EVALUATION
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
| CODE |
| PERFORMANCE LEVEL |
| O |
| OUTSTANDING - The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example to others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as “Excellent”. |
| E |
| EXCELLENT – The contractor has substantially exceeded the contract performance requirements. |
| G |
| GOOD – There are no, or very minimal issues and the contractor has met the contract requirements. |
| F |
| FAIR – Overall compliance requires minor agency resources to ensure achievement of contract requirements. |
| P |
| POOR – Overall compliance requires significant agency resources to ensure achievement of contract requirements. |
| U |
| UNSATISFACTORY – Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. |
| N |
| NOT APPLICABLE - Unable to provide a score |
| Quality of Product or Service |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Ability to understand/comply with customer objectives and technical requirements
Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.
Adequacy/effectiveness of quality control program
Quality/effectiveness of sub-contracted efforts
| Program Management, Timeliness of Performance & Business Relations |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)
Timeliness/effectiveness of contract problem resolution without extensive customer guidance
Ability to successfully respond to emergency and/or surge situations
Effectiveness of material management (including Government Furnished Property or Material)
Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer
Contractor implemented responsive/flexible processes to improve quality and timeliness of support.
Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)
Government Contracts Only: has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?
| Yes___ | Default___ | Convenience___ | Pending Terminations___ |
| No ___ |
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).
SECTION 3: NARRATIVE SUMMARY
Please provide any additional comments concerning this contractor’s performance, as desired.
Evaluator’s Signature Date
Thank you for your prompt response and assistance!
File details come from the government source that posted it. Updated .