The file's text, extracted by GovTribe without its formatting.
DE-SOL-0001279
Attachment L-6
PAST PERFORMANCE INFORMATION QUESTIONNAIRE
SOLICITATION NO. DE-SOL-0001279
The Department of Energy, Golden Field Office is interested in your assessment of the named company’s performance on your contract. This information will be used to evaluate the contractor’s probability of successfully performing the requirements currently being advertised.
| Past Performance Information Questionnaire for: |
| [Insert Name of Offeror] |
Respondent: Please fill in the following table:
1. Complete Name and Title of Responder
| [First Name, Last Name] |
| [Official / Position Title] |
2. Company or Agency Name, Address, Telephone Number, Facsimile Number (w/Area Code), and E-mail Address
[Agency / Company / Organization Name] [Mailing Address: Number & Street Name or PO Box, City, State, Zip Code] [Phone No.]; [Fax No.]; [john.doe@go.doe.gov]
3a. Contract Name or Title
| 3b. Contract Number |
| 3c. Type of Contract |
| 3d. Contract Value |
| Initial Amount |
| Current Amount * |
* Should reflect any contract value increases/decreases since initial contract award
| 4. Signature |
| 5. Date Questionnaire Completed |
Please use the following definitions to provide your ratings:
| 4 = Outstanding |
| Performance was substantially and consistently above contract requirements. Contractor displayed an overall superior understanding of contract requirements, and used innovative approaches leading to enhanced performance. |
| 3 = Good. |
| Performance was above minimum contract requirements. Contractor displayed a thorough understanding of contract requirements |
| 2 = Satisfactory |
| Performance met minimum contract requirements. |
| 1 = Marginal |
| Performance was below minimum contract requirements. Contractor displayed a lack of thorough understanding of contract requirements in one or more significant performance areas. |
| 0 = Unsatisfactory |
| Performance completely failed to meet the minimum contract requirements. Contractor displayed a total lack of understanding of contract requirements. |
NA = Not Applicable
| DK = Don’t Know |
| No knowledge available to respond to this question. |
Please rate the Contractor on each of the following questions using the definitions above. For any rating(s) less than 2, please provide an explanation in the additional comments block below. We greatly appreciate your time and assistance in completing this questionnaire.
| Past Performance Information Questionnaire for: |
| [Insert Name of Offeror] |
A. QUALITY OF SERVICES
| 1. How would you rate the contractor’s key personnel performance? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 2. Was the Statement of Work executed effectively by the contractor in a consistently high quality manner? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 3. How would you rate the quality of the technical, cost, and other reports, including their content and accuracy? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 4. Did the contractor develop and implement an effective quality assurance program? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 5. Has there been a positive or negative trend in contract performance (“0” would be a very negative trend, “4” would be a very positive trend) |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 6. How would you rate the overall quality of services and support provided? |
| [4] [3] [2] [1] [0] [NA] [DK] |
B. TIMELINESS OF PERFORMANCE
| 7. How would you rate the contractor’s performance in meeting contract milestones for each task or objective? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 8. How would you rate the contractor’s performance in completing and submitting the required deliverables in a timely manner? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 9. How would you rate the contractor’s performance in overall adherence to contract schedules? |
| [4] [3] [2] [1] [0] [NA] [DK] |
C. COST CONTROL
| 10. How would you rate the contractor’s ability to perform within the contract ceiling or estimated cost? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 11. How would you rate the contractor’s adherence to target costs on the contract level and at the task level? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 12. Did the contractor utilize cost efficiencies in performance of your contract? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 13. Did the contractor submit accurate and timely invoices? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 14. If proposals were generated for changes, requests for equitable adjustment, or claims, how would you rate the reasonableness of the pricing? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 15. How would you rate the contractor’s overall cost performance? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| Past Performance Information Questionnaire for: |
| [Insert Name of Offeror] |
D. BUSINESS MANAGEMENT PRACTICES
| 16. Did the contractor utilize an effective project management system that included planning, budgeting, status tracking, reporting, baseline management, critical path analysis, and work breakdown structure? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 17. How would you rate the contractor’s skills in efficiently directing personnel and allocating resources to effectively meet customer needs? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 18. How would you rate the contractor’s ability to recruit and retain strong, well-qualified key personnel? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 19. Did the contractor effectively implement human resources requirements and manage labor relations? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 20. Did the contractor provide an effective and efficient transition from the previous contractor? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 21. Did the contractor’s corporate office effectively support your contract? |
| [4] [3] [2] [1] [0] [NA] [DK] |
E. SUBCONTRACTING/PARTNERING
| 22. How would you rate the contractor’s ability in developing subcontracts and consulting agreements that effectively supported the contract objectives? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 23. How would you rate the contractor’s ability to create teaming/ partnering relationships to achieve project goals? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 24. Did the contractor meet the subcontracting goals for small businesses and other socioeconomic groups? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 25. Was the contractor effective in overall subcontract management? |
| [4] [3] [2] [1] [0] [NA] [DK] |
F. COOPERATION AND RESPONSIVENESS
| 26. How would you rate the contractor’s cooperation with the technical representatives, the Contracting Officer, and other stakeholders? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 27. How would you rate the contractor’s responsiveness to technical and contractual direction? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 28. How would you rate the contractor’s responsiveness to inquiries from your organization’s technical and contract representatives? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 29. How would you rate the contractor’s ability to integrate activities with other contractors on multiple contractor sites? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 30. Was the contractor effective in working with organized labor, community groups, media, and other stakeholders? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 31. How would you rate the contractor’s overall behavior, in regards reasonableness, cooperation, flexibility, and responsiveness? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| Past Performance Information Questionnaire for: |
| [Insert Name of Offeror] |
G. COMPLIANCE
| 32. Did the contractor demonstrate conformance with general contract safety and health requirements? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 33. If applicable, did the contractor’s Environment Safety & Health (ES&H) program comply with contract requirements, and protect workers, the public, and the environment? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 34. Did the contractor effectively manage regulatory compliance programs and regulatory interfaces? |
| [4] [3] [2] [1] [0] [NA] [DK] |
| 35. How would you rate the contractor’s overall compliance with all contract terms and conditions? |
| [4] [3] [2] [1] [0] [NA] [DK] |
H. CUSTOMER SATISFACTION
| 36. Were there any significant problems encountered by the Contractor? |
| [ ] YES [ ] NO |
If yes, state the problem(s), what corrective actions were taken by the Contractor, and indicate whether you consider these corrective actions to be effective?
| 37. Would you hire this Company again? |
| [ ] YES [ ] NO |
| 38. Provide an overall assessment of the contractor’s performance. |
| [4] [3] [2] [1] [0] |
Please comment on the overall satisfaction of your organization with the contractor’s performance.
| Past Performance Information Questionnaire for: |
| [Insert Name of Offeror] |
Additional Comments (Positive and Negative)
Please attach additional pages if more space is needed.