Past Performance Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE

For

Company Name for which information is provided

INSTRUCTIONS

The company referenced above is proposing on a solicitation to provide Interior Architectural Design Services to the Office of the Comptroller of the Currency. Past Performance is an extremely important part of the evaluation criteria for this acquisition and your input is important. When you have completed this questionnaire, please email to Marguerite Brown at Marguerite.Brown@occ.treas.gov or fax to (301) 433-6309. If you have questions, please contact Ms. Brown at (202) 874-5096.

I. CONTRACT IDENTIFICATION

A. Your Company Name: _____________________________________________

B. Contract Number: ____________________________________________

C. Period of Performance: from _________________ to _____________ date date

II. EVALUATOR IDENTIFICATION

A. Evaluator name: _____________________________________________

B. Evaluator title: _______________________________________________

C. Evaluator phone number: _______________________________________

D. Evaluator email address: _______________________________________

E. Evaluator signature: ___________________________________________

III. EVALUATION

Please circle one response for each question. When responding to the questions, select the letter that most accurately describes the contractor’s performance or situation. If the contractor has no record of past performance relevant to a particular question, select “N” for Neutral.

A. CONTRACT EXECUTION HISTORY

1. Did the contractor provide for effective overall contract management?

a. Considerably surpassed minimum requirements

b. Exceeded minimum requirements

c. Met minimum requirements

d. Less than minimum requirements

e. Considerably below minimum requirements

f. Not applicable to this contract

Comment:______________________________________________________

2. Did the contractor adhere to contract delivery schedules?

a. Considerably surpassed minimum requirements

b. Exceeded minimum requirements

c. Met minimum requirements

d. Less than minimum requirements

e. Considerably below minimum requirements

f. Not applicable to this contract

Comment:______________________________________________________

3. Did the contractor display initiative in meeting requirements?

a. Displayed excellent initiative

b. Displayed good initiative

c. Displayed some initiative

d. Displayed little initiative

e. Displayed no initiative

f. Not applicable to this contract

Comment:______________________________________________________

4. Did the contractor commit adequate resources in timely fashion to the contract to meet the requirement?

a. Provided abundant resources

b. Provided good resources

c. Provided adequate resources

d. Provided minimal resources

e. Provided insufficient resources

Comment:______________________________________________________

5. Was the contractor effective in working together with the Government’s/Customer’s, Contracting Officer’s Technical Representative (COR/COTR) and other contractor administration staff?

a. Extremely effective

b. Generally effective

c. Marginally effective

d. Generally ineffective

e. Extremely ineffective

f. Not applicable to this contract

Comment:______________________________________________________

6. To what extent did the contractor meet the proposed cost estimates?

a. Extremely effective

b. Generally effective

c. Marginally effective

d. Generally ineffective

e. Extremely ineffective

f. Not applicable to this contract

Comment:______________________________________________________

7. Was the contract completed on time, with quality service conforming to the contract, without any degradation in performance or customer satisfaction?

a. Extremely effective

b. Generally effective

c. Marginally effective

d. Generally ineffective

e. Extremely ineffective

f. Not applicable to this contract

Comment:______________________________________________________

8. Discuss the number, type, frequency, duration and impact of any quality, delivery or cost problems in performing the contract, the corrective action taken, if any, and the effectiveness of the corrective action?

Comment:______________________________________________________

B. RELEVANCE AND TECHNICAL CAPABILITIES.

Please enter one response to the right of each technical capability area, using one of these five possible responses.

a. Yes, provided Excellent support

b. Yes, provided Good support

c. Yes, provided Satisfactory support

d. No, provided poor or inferior support

e. No. Support in this area was not necessary or not required to perform this contract

1. Did the Contractor generate a Program (referred to by the OCC as a Space Requirements Report) for the project?

2. Did the Contractor generate Test Fits based on the approved Program?

3. Did the Contractor prepare Space Plans (schematic design) and develop Design Development packages?

4. Did the Contractor prepare accurate and detailed Construction Drawings and Specifications that illustrate the exact scope, size and character of the spaces to be occupied?

5. Did the Contractor prepare accurate Furniture Specifications?

7. Did the Contractor provide effective Construction Administration?

8. Did the Contractor plan and coordinate for the Relocation of office staff?

C. TERMINATION HISTORY

1. Has the contract been partially or completely terminated for default or convenience?

Yes_________ Default __________ Convenience____________

No _________

If yes, explain (i.e. inability to meet cost, performance, or delivery schedules).

2. Are there any pending terminations?

Yes_________ No _______

If yes, explain and indicate status.

V. NARRATIVE SUMMARY

A. How satisfied were you with the contractor's overall design and technical capabilities?

B. What was the contractor’s greatest strength in the performance of the contract?

C. What was the contractor’s greatest weakness in the performance of the contract?

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