Attachment_9_-_Past_Performance_Survey.doc

RFP CC16HQR0001

Attachment 9: Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

Name of Evaluator & Organization:

Official Position:

Phone/Fax/Email:

Name of Company Evaluated:

Company Address:

Contract No. (Indicate if prime/subcontractor):

Contract Period of Performance:

_____/_____/______ to ____/____/_____

Contract Type:

Contract Value:

PLEASE RETURN THIS SURVEY VIA E-MAIL TO: ManagedEmail@occ.treas.gov by July 8, 2015 at 9:00 AM Eastern Standard Time (EST) with the subject line: “RFP CC15HQR0015 – Past Performance Survey Response for <Insert Evaluated Vendor Name Here>.

Please provide a thorough and complete description of the most recent services you have contracted for from the vendor.

INSTRUCTIONS – For each item, circle the rating that best describes the contractor’s work on this project and provide any additional comments. For items not applicable to your project, please indicate N/A.

5= Exceptional

No problems, issues, or delays in achieving contract requirements

4= Good

Does not impact achievement of contract requirements

3=Acceptable

Requires minor agency resources to ensure achievement of contract requirements

2=Marginal

Requires major agency resources to ensure achievement of contract requirements

1= Unacceptable

Achievement of contract requirement is compromised

N/A= Not applicable Does not apply

(1) Overall implementation of the contract

N/A Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(2) Ability to pro-actively and aggressively perform

N/A contract requirements(s)

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(3) Effectiveness and reliability of contractor's key personnel N/A Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(4) Quality of the contractor’s on-going technical

N/A assistance and customer service

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(5) Quality of the contractor’s reporting features and tools

N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(6) Overall ability to effectively manage contract

N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(7) Overall performance in planning, scheduling, and monitoring N/A contract requirements Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(8) Timely completion of major milestones

N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(9) Responsiveness/capability to respond to surge/short term N/A requirements and aggressive timelines Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(10) Displays initiative in meeting Government requirements N/A and is responsive to the Government's needs

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(11) Responsiveness and flexibility in responding to changes N/A

(both formal and informal)

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(12) Provides prompt notification of problems

N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(13) Effectively assesses impacts of potential changes on other N/A associated projects, tasks, and efforts

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(14) Ability to solve contract performance problems without N/A extensive guidance from Government personnel

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(15) Overall management communication with your agency N/A or organization

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(16) Effectiveness in interfacing with Government personnel N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(17) Quality of the contractor’s billing procedures, N/A billing accuracy and resolution of billing discrepancies Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

(18) Ability to meet Agency’s security requirements

N/A

Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________

Based on this contractor’s overall performance, would you award this contractor a similar contract?

Yes [ ] No [ ] If “no’, please explain:

Has this contract been partially or completely terminated?

Yes [ ] No [ ] If “yes’, please explain:

Were there any changes in contract dollar value throughout the life of the contract?

Yes [ ] No [ ] If “yes”, please explain:

In summary, please give your overall assessment of this contractor and the actual results achieved as a result of this contractor’s performance.

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