ATTACHMENT_D-_PAST_PERFORMANCE_QUESTIONNAIRE.docx

ATTACHMENT D PAST PERFORMANCE QUESTIONNAIRE

BACKGROUND:

The U.S. Census Bureau is currently seeking a contractor who will provide national address data or Remotely sensed satellite and/or aerial imagery. .

The information hereby requested is intended to assist the U.S. Census Bureau to assess the effectiveness and performance of the services/contractor identified below.

INSTRUCTIONS:

Two forms are provided to document the evaluator’s option: 1) Performance Rating Form; and 2) Supplemental Comment Form. The following standards shall be used in arriving at the rating.

(S) - Satisfactory Contractor/ Service met or exceeded customer expectations or contract requirements and demonstrated an acceptable understanding of the requirements.

(U) - Unsatisfactory Contractor’s performance / Service was either marginal or did not meet customer expectations or contract requirements.

N/A Element is not applicable. If no data has been obtained, please note in this column.

Please submit this form no later than 5:00 PM EST, on May 15, 2015, as an e-mailed attachment to:

· Matthew Gore, Contract Specialist, (matthew.s.gore@census.gov)

Please mark the subject line of the e-mail as CENSUS2015-GEO0227- [Offeror Name] – Phase II: Past Performance

A. Performance Rating Form

B. NAME OF CONTRACTOR EVALUATED:

C. NAME OF SERVICES EVALUATED:

ADDRESS OF CONTRACTOR EVALUATED:

POINT OF CONTACT OF CONTRACTOR EVALUATED:

NAME OF EVALUATOR/ PHONE #/EMAIL:

EVALUATOR’S AGENCY:

CONTRACT NUMBER:

CONTRACT TOTAL VALUE:

CONTRACT PERIOD OF PERFORMANCE:

DATE OF EVALUATION:

DESCRIPTION OF SERVICES RECEIVED:

Please provide a brief description of the services evaluated.

(1) SERVICE PERFORMANCE

1 - OVERALL PERFORMANCE: How would you rate the overall performance and quality?

Comments: For the vast majority of the survey, the work performed was exceptional. The instrument development staff were particularly skilled in developing a long and complex survey instrument.

XXx

2 - EASE TO USE: Was the data easy to understand? Easy to use?

Comments: Westat went to great lengths to ensure that the data were understandable and responses to survey questions were properly coded.

x

3 - QUALITY OF DATA: Was the data provided comprehensive? Current?

Were the reports clear, comprehensive, easy to understand?

Comments: Data provided were the most current and comprehensive available on the survey topics. Reports completed were well organized, clear, and comprehensive.

x

(2) CONTRACTOR PERFORMANCE

4 –QUALITY ASSURANCE: Did the contractor demonstrate a high regard for quality assurance? In what specific ways?

Comments: Westat showed a particular regard for quality in the development of the survey instrument, the selection and training of interviewers, and the editing and coding of survey responses.

5 – CUSTOMER SERVICE: Was the contractor cooperative and concerned with the interests of the customer? How would you rate the contractor’s commitment to customer satisfaction?

Comments: Westat regularly communicated with us in an extremely professional manner, keeping us up-to-date on any potential issues and including us in all decisions along the way. They were proactive in addressing comments and issues that arose, such as questionnaire and coding tweaks.

For the following questions, please answer “Yes” or “No”, as appropriate. Please elaborate on your answer:

1 - Were there any quality deficiencies or concerns during the performance period?

____ _NO

_____ YES, please explain.

2 - Do you have any reservations about recommending the services?

____ _NO

_____ YES, please explain.

3 – Given the choice, would you do business with this contractor again?

_____ YES.

_____NO, please explain.

Please provide any additional comments that may assist the Census Bureau in evaluating the performance of the referenced service and contractor.

Thank You.