B2 -PAST PERFORMANCE QUESTIONNAIRE.pdf

PAST PERFORMANCE QUESTIONNAIRE

Note to Quoter/Contractor: This PAST PERFORMANCE QUESTIONNAIRE is to be completed by your reference and returned by your reference to, Robert Singman:

robret.singman@nist.gov by Friday, April 23, 2021, 12:00 P.M. (NOON) EASTERN TIME.

Failure to do so may result in rejection of your Quote.

To the Reference Provider:

Your organization has been identified for participation in the past performance evaluation on a current solicitation at the National Institute of Standards and Technology (NIST), Gaithersburg, MD. This survey will be used to evaluate the past performance of the contractor for possible award based the subject contracting action identified below.

Your candid responses to the questions are important to our evaluation effort and may affect the award outcome. Please indicate "N/A" in any area which is not applicable to work performed on contracting action identified below. In accordance with OFPP Policy Letter Number 92-5, the names of individuals supplying past performance information will remain confidential.

Please take a moment to complete the enclosed survey and e-mail the completed and signed survey to the contact listed below by Friday, March 23, 2021, 12:00 P.M. (NOON) EASTERN TIME. A representative of NIST may contact you to arrange a time for a phone interview to review the survey. If you have any questions regarding this survey please contact Mr. Robert Singman at:

Email: robert.singman@nist.gov Phone: (301) 975-6388 Subject Contracting Action:

Disposal of Chemical Waste (Hazardous and Non-Hazardous) and Emergency Response Services

The following information is being requested:

Program Name/Contract Task:

Contract Start/End dates:

Award Amount:

mailto:robret.singman@nist.gov mailto:robert.singman@nist.gov

Description of the work performed:

Evaluators name, and role on the contract:

1. Please rate each item listed below (circling is preferable; Use 1 through 5 with 5 being outstanding and 1 being unsatisfactory; N/O (Not Observed)) and Provide Comments to identify Specific Strengths/Weaknesses in each area

A1. Quality of Services: Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

Overall Quality 1 2 3 4 5 N/O

Comments :

B. Timeliness of Performance - Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, administrative requirements (e.g., efforts that contribute to or affect the schedule variance).

Extent to which work and deliverables were delivered on time 1 2 3 4 5 N/O

Comments:

C. Cost Control - Assess the contractor’s effectiveness in forecasting, managing, and controlling contract costs (*Do not rate this item for Firm Fixed Priced contracts).

Performed Within Estimates 1 2 3 4 5 N/O Cost Consciousness 1 2 3 4 5 N/O

Comments (

D. Business Relations - Assess the integration and coordination of relationships needed to execute the contract Business/Contracting Relations 1 2 3 4 5 N/O Response to Change 1 2 3 4 5 N/O

Responsiveness 1 2 3 4 5 N/O

Comments

E. Resolution of Problems - Assess the contractor’s performance in resolving problems that arose during performance of the contract.

Problem Resolution 1 2 3 4 5 N/O

Comments):