ATCH_25_-_Past_Perf_Questionnaire.docx

DOCX document 28 KB Posted

Attached to
DOI Business Integration Office (BIO) Assistance Federal contract opportunity
Solicitation number
D13PS00314
Issued by
Department of the Interior Departmental Offices Interior Business Center

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ATCH 25 - Past Performance Questionnaire

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Text version

Solicitation No. D13PS00314 – U.S. Department of the Interior, Business Integration Office (BIO) Assistance

RELEVANT PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104

Please return this completed questionnaire to Shannon.griffin@ibc.doi.gov and corey_gerst@ibc.doi.gov OR FAX: (703) 964-8490 ATTN: Shannon Griffin RFP D13PS00314.

SECTION 1: CONTRACT IDENTIFICATION

A.
Contractor:
B.
Contract number:
C.
Order Number:
D.
Contract type:
E.
Was this a competitive contract?
F.
Period of performance:
G.
Place of performance:
H.
Initial contract cost:
I.
Current/final contract cost:
J.
Reasons for differences between initial contract cost and final contract costs, if any:
K.
Description of service provided:
L.
Geographic description of services under this contract, i.e. local, multistate, nationwide, worldwide, other (describe):
M.
Are you bound by a non-disclosure agreement or court order, which would prohibit you from responding to questions regarding any previous acquisition(s)?

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A.
Customer or Agency Name:
B.
Evaluator's Name:
C.
Evaluator's Title:
D.
Evaluator's Phone:
E.
Evaluator's E-mail:
F.
Number of years evaluator worked on subject contract:

SECTION 3: EVALUATION RATINGS

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. The rating scale is defined as follows:

Rating

Description

Exceptional
E
Performance met all contractual requirements and exceeded many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good
V
Performance met contractual requirements and exceeded some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Acceptable
A
Performance met contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal
M
Performance did not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.
Unacceptable
U
Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.
Not Applicable
N
Unable to provide a score. Performance in this area is not applicable to effort assessed.

SECTION 4: EVALUATION FACTORS

1. Quality of Product or Service
E
V
A
M
U
N

Ability to understand/comply with customer objectives and technical requirements.

Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

Adequacy/effectiveness of quality control program.

Contractor proposed alternative methods/processes that improved the product or service which benefited the customer.

Quality/effectiveness of sub-contracted efforts.

2. Program Management and Timeliness
E
V
A
M
U
N

Effectiveness of overall contract management (including ability to effectively lead, manage and control the program).

Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

Ability to successfully respond to emergency and/or surge situations.

Effectiveness of material management (including Government Furnished Property or Material).

Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

3. Transition/Phase-in and Staff Support
E
V
A
M
U
N

Ability to smoothly transition resources and personnel.

Ability to maintain continuity while transitioning/phasing in resources and personnel to support other efforts.

Ability to hire/apply a qualified workforce to this effort.

Ability to retain a qualified workforce on this effort.

Contractor was reasonable and cooperative in dealing with staff (including the ability to resolve disagreements/ disputes).

4. Cost Control
E
V
A
M
U
N

Accuracy in forecasting contract costs.

Ability to meet forecasted costs and perform within contract costs.

Ability to alert Government of unforeseen costs before they occur.

Sufficiency and timeliness of cost reporting.

Contractor proposed alternative methods/processes that reduced cost of product or service which benefited the customer.

SECTION 5: NARRATIVE SUMMARY

1. What were the contractor’s greatest strengths in the performance of the contract?

2. What were the contractor’s greatest weaknesses in the performance of the contract?

3. Would you hire this contractor in the future to perform one of your critical and demanding programs?

4. Please provide any additional comments concerning this contractor’s performance, as desired.

5. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

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

__________________________________________________________
Evaluator’s SignatureDate

Thank you for your prompt response and assistance!

Please return this completed questionnaire to Shannon.griffin@ibc.doi.gov and corey_gerst@ibc.doi.gov OR FAX: (703) 964-8490 ATTN: Shannon Griffin RFP D13PS00314 Attachment 25 Source Selection Information – See FAR 2.101 AND 3.104

File details come from the government source that posted it. Updated .