B03 - ATTACHMENT 4 - Past Performance Questionnaire.docx

DOCX document 22 KB Posted

Attached to
Recipe Revision &Standardization Project Federal contract opportunity
Solicitation number
12319823Q0058
Issued by
Department of Agriculture Food and Nutrition Service

About this file

This document contains a past performance questionnaire template for solicitation number 12319823Q0058 from the Department of Agriculture Food and Nutrition Service. The questionnaire is to be completed by references for vendors being considered for the contract. It requests ratings and comments on the vendor's performance on previous contracts in areas such as on-site management, maintaining professional relationships, providing qualified personnel, quality control ability, and meeting schedules. The evaluator is asked to provide contact information and indicate whether they would award another contract to the vendor. The related federal contract opportunity is for a Recipe Revision and Standardization Project with the Department of Agriculture Food and Nutrition Service.

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B02 - 12319823Q0058 New .pdf PDF
B02 - ATTACHMENT 2 -RFQ- Pricing Sheet .xlsx XLSX spreadsheet
A02 ATTACHMENT 1 PWS-Recipe Revision Recipe Standardization Project.pdf PDF

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Text version

ATTACHMENT 4

PAST PERFORMANCE QUESTIONNAIRE FOR

SOLICITATION NUMBER: 12319823Q0058

THIS FORM IS PROVIDED FOR THE PURPOSE OF PROVIDING TO

AND SUBMITTAL BY THE VENDOR REFERENCES

Our company is being considered in a Source Selection by the Food and Nutrition Service (FNS), Contract Management Division. It would be appreciated if you would provide comments regarding our past performance. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (FAR) prohibits the release of the names of individuals providing reference information about a Vendors past performance. In order to maintain the integrity of the source selection process, respectfully request that you do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals.

This form shall be sent via e-mailed to: Chantey Bost at chantey.bost@usda.gov.

Past Project Information:

1. Contractor name and address:

2. Contract Number and Project Title:

Evaluator (The following information will assist in the analysis of the data. Information will be kept confidential.)

1.Name of Evaluator:Date:
2.Phone Number:
3.Address:
4.Position held or function in relation to the project:

RATINGS:

Please evaluate the contractor’s performance using the following ratings:

(E)Exceptional:The contractor’s performance greatly exceeded the stated requirements.
(HA)Highly Acceptable: The contractor’s performance exceeded the stated requirements.
(A)Acceptable:The contractor’s performance met the stated requirements.
(M)Marginal:The contractor’s performance met the stated requirements, but withdifficulty.
(U)Unacceptable:The contractor’s performance did not meet the stated requirements.

Please rate and provide any supporting information for the following: (Use additional sheets as necessary)

1. The contractor’s on-site management and coordination of subcontractors.

2. The contractor’s ability to maintain a professional working relationship with Government personnel.

3. The contractor’s ability to provide qualified personnel to meet performance objectives as outlined in the Performance Work Statement or Statement of Work.

5. The contractor’s quality control ability.

6. The contractor’s ability to meet the performance schedule.

7. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?

8. The contractor’s ability to rectify identified problems in a timely fashion without further incident of the same.

9. Has the contractor been given any of the following: Cure notice; show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.

10. Would you award another contract to this contractor? If no, please explain.

11. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?

12. The contractor maintained a professional working relationship with Government personnel.

OVERALL RATING: _________________________

Please provide any additional comments.

File details come from the government source that posted it. Updated .