Attch_5_-_Past-Performance-Questionnaire_-_Manchester_BAS.docx
DOCX document 4 MB Posted
- Solicitation number
- 1305M326Q0491
About this file
This is a Past Performance Questionnaire Template for the Manchester Building Automation System (Manchester BAS) solicitation (1305M326Q0491) issued by the National Oceanic and Atmospheric Administration (NOAA). The template is designed to be completed collaboratively, with offerors and major subcontractors providing information in Sections I and II, which is then verified and supplemented by government assessors who complete Sections III and IV based on their direct experience with the contractor on relevant previous contracts.
The questionnaire captures critical contract performance data including contractor name and address, contract number, contract type, contract value, period of performance, and project description. Assessors evaluate overall performance using a five-tier rating scale: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable. The assessment criteria encompass contract requirement compliance, quality and timeliness of delivery, cost management, inter-party communications, proactive management, and customer satisfaction. Assessors must identify their role in contract administration (such as Procuring Contracting Officer, Administrative Contracting Officer, Contracting Officer's Representative, or Technical Project Lead) and the period of their involvement. Completed questionnaires are to be submitted by assessors directly to the NOAA Contracting Office via email, with offerors required to submit copies of Sections I and II with their proposals by the solicitation closing date. This template serves as an official source selection evaluation document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Past Performance Questionnaire Template
Instructions:
· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.
· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.
· Sections III through IV to be completed in their entirety by the assessor.
Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: name@noaa.gov.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 1305M326Q0491 |
| Project/Requirement |
| Manchester BAS |
| Customer/Agency |
| NOAA (AGO) |
| Project/Requirement Description |
| Manchester BAS |
II. Current or Historical Contract Information
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
CONTRACTOR NAME & ADDRESS:
Contract No
Type of Contract
| Initial |
| Final |
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| ☐ PRIME |
| ☐ SUBCONTRACTOR |
| Termination History |
| ☐ Convenience |
| ☐ Default |
| ☐ N/A |
III. Assessor Information
Assessor Name
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| ✔ |
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA) Auditor
Other:
IV. Overall Performance Rating
Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Additional comments/notes:
Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only
File details come from the government source that posted it. Updated .