Att_004_-_Past_Perf_Evaluation_Survey_AO.docx

DU100H-13-Q-0003

ATTACHMENT 004

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

FROM: _________________________________ TITLE: _______________________

FIRM/ORGANIZATION: ___________________________________________________________

(Reference Insert Name, title, Firm or Organization)

(1) NAME AND ADDRESS OF OFFEROR: ___________________________________________

(2) CONTRACT NUMBER OR IDENTIFIER: _________________________________________

(3) AWARD DATE: ________________ (4) COMPLETION DATE: _____________

(5) VALUE: ________________________

(6) DESCRIPTION OF SERVICES RENDERED: ____________________________

Please rate the company listed in 1 above on the contract(s) listed in 2 above. Please provide comments for ratings of excellent, poor, or unsatisfactory for your answers to be understood. See next page for performance rating guidelines. Detailed comments are the most useful in the evaluation process. Your name will not be shared with the firm evaluated, but any adverse results that they are unaware of will be provided to them for comment only.

A. QUALITY OF PRODUCTS AND SERVICES:

[ ] Excellent [ ] Good [ ] Fair [ ] Poor [ ] Unsatisfactory Comments:

B. TIMELINESS OF PERFORMANCE:

[ ] Excellent [ ] Good [ ] Fair [ ] Poor [ ] Unsatisfactory

Comments:

C. BUSINESS RELATIONS:

[ ] Excellent [ ] Good [ ] Fair [ ] Poor [ ] Unsatisfactory

Comments:

D. COST CONTROL

[ ] Excellent [ ] Good [ ] Fair [ ] Poor [ ] Unsatisfactory

Comments:

E. WOULD YOU SELECT THIS FIRM AGAIN AND WHY? [ ] Yes [ ] No Preparer’s printed/Typed Name: __________________________________________________________ Signature: _______________________________________________________ Date: _____________ Preparer’s Telephone Number: ____________________

PERFORMANCE RATING GUIDELINES

If a factor is not applicable (for example, Cost Control on a Fixed-Price Contracts), then mark that factor as N/A in the comments on the rating sheet.

MEASUREMENT CATEGORIES AND APPROPRIATE CRITERIA

QUALITY OF PRODUCTS AND SERVICES

· Compliance with requirements

· Accurate reporting

· Use of appropriate personnel

· Technical excellence

TIMELINESS OF PERFORMANCE

· Performance milestones & delivery schedules reliably met

· Responsive to technical direction

· Timely completion, including wrap-up & contract admin

· No liquidated damages

COST CONTROL

· Performance within budget/targeted costs

· Current, accurate and complete billings

· Actual costs in line with negotiated costs

· Cost efficient

· No change orders due to poor cost control

BUSINESS RELATIONS

· Effective management

· Businesslike communications

· Prompt notification of problems

· Reasonable, cooperative, flexible, pro-active

· Effective small/small disadvantaged business subcontracting