D.3 PAST PERFORMANCE SURVEY.pdf

D.3 PAST PERFORMANCE SURVEY

36C25720Q1292– Readjustment Counseling Service Contract

Past Performance Questionnaire: The past performance questionnaire must be independently completed by the offeror’s client references. Offerors are responsible for ensuring that their client references complete this questionnaire and submit it via email directly to Lisa Edwards at 36C25720Q1292 - Readjustment Counseling Service Contract in the subject line, NO LATER THAN

THE DUE DATE AND TIME OF THE SOLICITATION.

PAST PERFORMANCE QUESTIONNAIRE

1. Contractor Name:

Role on Project: (Prime/Subcontractor):

2. Contract Number:

3. Contractor Address: 4. Contract Type:

Firm Fixed Price

T&M/LH

Cost Reimbursement Other (Please Specify)

5. Agency/Company Name: 6. Agency/Company POC/Phone/Email:

7. Period of Performance: 8. Dollar Amount at Award: $ Annual Amount: $ Total Dollar Value with Mods:$

9. Title of Contract:

10. Description of Contract Service/Scope of Contract:

11. Complexity of Work: Difficult: Moderate: Routine:

NOTE: Please use adjectival ratings for items A – C and E – G below.

Item D uses a numerical ratings scale 1 to 5. Ratings guidelines are provided on pages 4 & 5.

12. Subject Area 13. Comments (Attach additional sheets, if necessary.) 14. Rating

A. Quality of Work PLEASE PROVIDE COMMENTS, PARTICULARLY IF

RATING ASSIGNED IS EXCEPTIONAL OR

UNSATIFACTORY

B. Personnel – Knowledge, Skills and Abilities

PLEASE PROVIDE COMMENTS, PARTICULARLY IF

C. Cost/Budget Control PLEASE PROVIDE COMMENTS, PARTICULARLY IF

D. Customer Satisfaction PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS “5” (highest) OR “1” (lowest)

(1 – 5)

E. Timeliness of Performance/ Deliverables

PLEASE PROVIDE COMMENTS, PARTICULARLY IF

F. Business Relations PLEASE PROVIDE COMMENTS, PARTICULARLY IF

G. Overall Performance PLEASE PROVIDE COMMENTS, PARTICULARLY IF

ASSIGNED RATING IS EXCEPTIONAL OR

UNSATISFACTORY

15. Would you select this contractor again? Please explain.

(Attach additional sheet if necessary.)

16. Name and title of individual who completed this questionnaire:

17. Date:

Past Performance Rating Guidelines

Summarize contractor performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.

Ratings Quality of Work/

Personnel Capabilities

Cost/Budget Control

Customer Satisfaction

Timeliness of Services/Deliverab les

Business Relations

-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence

-Within budget -Current, accurate, complete billings -Relationship of negotiated costs to actual -Cost efficiencies -Change orders issued

Customer Satisfaction is a measure of how products and services supplied by a company meet or surpass customer expectation.

On a scale of 1-5 (5 being the highest) please rate and describe your level of satisfaction with the contractor’s performance.

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time

-Effective management -Business like correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable/ cooperative -Flexible -Pro-active

5 - Very satisfied

4 - Somewhat satisfied

3 - Neither satisfied nor dissatisfied

2 -Somewhat dissatisfied

1 - Very dissatisfied

Unsatisfactory Nonconformance's Cost issues are Delays are Response is not are comprising the comprising compromising effective achievement of performance achievement of contract requirements contract requirements

Marginal Nonconformance's require major agency resources to ensure achievement of contract requirements

Cost issues require major agency resources to ensure achievement of contract requirements

Delays require major agency resources to ensure achievement of contract requirements

Response is marginally effective

Satisfactory Nonconformance's do not impact achievement of contract requirements

Cost issues do not impact achievement of contract requirements

Delays do not impact achievement of contract requirements

Response is usually effective

Very Good There are no quality There are no There are no delays Response to problems/issues, and cost inquiries and/or the contractor has management technical, service, substantially exceeded issues and the administrative the contract Contractor has issues are effective.

performance exceeded the requirements without contract commensurate requirements, additional costs to the achieving cost Government savings to the

Government.

Exceptional The contractor has The contractor The contractor has The contractor has demonstrated an has demonstrated an demonstrated an exceptional demonstrated an exceptional exceptional performance level that exceptional performance level. performance level.

was significantly in performance. It It is expected that It is expected that excess of anticipated is expected that this rating will be this rating will be achievements and is this rating will used in those rare used in those rare commendable as an be used in those circumstances circumstances example for others. It rare where contractor where contractor is expected that this circumstances performance clearly performance clearly rating will be used in where the exceeds the exceeds the those rare contractor performance levels performance levels circumstances where achieved cost described as described as contractor savings and "Exceptional". "Exceptional".

performance clearly performance exceeds the clearly exceeds performance levels the performance described as levels described "Exceptional". as

"Exceptional".