Attachment_10_Past_Performance_questionaire_FSM_3_8_revised.pdf

DU204SA-13-R-0004

ATTACHMENT 10

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE.

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IN

ACCORDANCE WITH FAR 3.104

Offeror complete below:

1. Contractor (Name, Address, and Zip code):

2. Contract Number: ______________________________________

3. Program/Project Title: ________________________________________________

4. Type of Contract: Fixed Price ___ Cost Reimbursement ____ Other ____ (Explain)

5. Description, location, and relevancy of work. Also, provide references that demonstrate the quality of work performed.

6. Brief description of effort Prime ____ Subcontractor ____. Or Vendor/Supplier_______

7. Complexity of Work: Difficult _____ Routine _____

8. Performance Period: ____________________________________

9. Date of Award: ______________________________________

10. Original Contract Dollar Value: _____________________________

11. Current/Completed Contract Dollar Value: _________________________

12. If amounts for 10 and 11 above are different, provide a brief explanation for the reason.

13. Contract Completion Date (including extension): ___________________

14. Type and Extent of Subcontracting: ____________________________________________

15. Point of Contact Information:

1. Procuring Contracting Officer:

Name: ______________________________________________

Address: ______________________________________________

Fax: __________________________________

Telephone Number: ____________________________

E-mail: _____________________________________

2. Administrative Contracting Officer (if applicable):

Name: ______________________________________________

Address: ______________________________________________

Fax: __________________________________

Telephone Number: ____________________________

E-mail: ____________________________________

3. Contracting Officer’s Representative:

Name: ______________________________________________

Address: ______________________________________________

Fax: __________________________________

Telephone Number: ________________________________

E-mail: _______________________________________

PART II. RESPONDENT/GOVERNMENT OFFICIAL’S INFORMATION AND PERFORMANCE

EVALUATION

You have been provided as a reference in response to the solicitation for a contract to provide field service management for the Department of Housing and Urban Development foreclosed homes. In order for the government to evaluate the past performance of the firm providing you as a reference, please complete this questionnaire and forward to the Department of Housing and Urban Development in accordance with the instructions listed below.

The individual knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgement of others within their organization, as applicable.

Offer/Bid Opening and Time: Jun 27, 2014, 2:00 pm EST

THIS QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:

Return via:

E-MAIL to: Kristin.T.Frantz@HUD.gov (Preferred method)

OR

Department of Housing and Urban Development Attn: Kristin Frantz

40 Marietta Street, 14th Floor Atlanta, Georgia 30303

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

POC to submit questionnaire or any questions: Kristin Frantz/office: 678-732-2641

1. Respondent/Government Official’s Information

Name: __________________________________________________________

Position/Title: _____________________________________________________

Address: _________________________________________________________________

Telephone Number: ____________________Fax: _______________________

E-mail: ______________________________________________________

2. Relationship and time involved with Contractor:

3. Date questionnaire was completed: ________________________

The following chart depicts the RATINGS that are to be used to evaluate the contractor’s performance:

N U F G E Neutral/Unknown

Confidence Unacceptable/Low

Confidence Fair/ Some Confidence Good/Significant Confidence Excellent/High

Confidence The overall assessment of the offeror’s past performance, in terms of relevancy, quality, and sufficiency reveals the offeror has no relevant past performance record which may be effectively evaluated.

The performance risk of the offeror is neutral. The contractor is rated neither good nor bad.

The performance risk of the offeror is neutral.

The overall assessment of the offeror’s past performance, in terms of recency, relevancy, quality, and sufficiency reveals a past performance record in which there is substantial doubt the offeror will successfully perform the effort required under the contract. This rating may also be due to the offeror failing to address the factor as required and no additional information is available. The confidence of successful performance is evaluated as low

The overall assessment of the offeror’s recent past performance, in terms of relevancy, quality, and sufficiency reveals a past performance record in which there is some doubt the offeror will successfully perform the effort required under the contract.

The confidence of successful performance is evaluated as some.

The overall assessment of the offeror’s recent past performance, in terms of relevancy, quality, and sufficiency reveals a past performance record in which there is little doubt the offeror will successfully perform the effort required under the contract.

The confidence of successful performance is evaluated as significant.

The overall assessment of the offeror’s recent past performance reveals a sufficient quantity of highly relevant and high quality past performance.

There is no doubt the offeror will successfully perform the effort required under the contract. The confidence of successful performance is evaluated as high.

For any neutral, marginal, or unsatisfactory rating, please provide explanatory narratives in the comments block.

These narratives need not be lengthy, just detailed. If a question is not applicable, mark N/A. If more space is needed, attach additional pages with the questionnaire.

Please rate Contractor performance in the following areas:

(1) Ability of the contractor to comply with contract terms and conditions?

Excellent Good Fair Unacceptable Neutral

Comments:

(2) Ability of the contractor to consistently meet performance timeline requirements?

Excellent Good Fair Unacceptable Neutral

Comments:

(3) How timely and effective were the contractor’s responses to and resolution of technical problems? Did the Project Manager have sufficient authority to make decisions or take actions during project performance?

Excellent Good Fair Unacceptable Neutral

Comments:

(4) How responsive was the contractor’s quality program in identifying, correcting, and preventing initial and recurring contract discrepancies?

Excellent Good Fair Unacceptable Neutral

Comments:

(5) Accuracy and timeliness in providing deliverables as required by contract?

Excellent Good Fair Unacceptable Neutral

Comments:

(6) How complete were the contractor’s quality procedures and how well do employees follow them?

Comments:

(7) How well did the contractor manage project, in terms of timely material delivery, accurate and timely submission of submittals, timely payment of subcontracts, and general business practices?

Exceptional Very good Satisfactory Marginal Unsatisfactory Neutral

Comments:

(8) Rate timeliness in meeting requirements and adhering to contract schedules (delivery/performance), taking into account all excusable delays including cooperation and attention to contract completion efforts.

Exceptional Very good Satisfactory Marginal Unsatisfactory Neutral

Comments:

(9) Quality of the contractor’s management relationship with Government counterparts?

Exceptional Very good Satisfactory Marginal Unsatisfactory Neutral

Comments:

(10) Did the contractor provide adequate, competent and qualified, management, key personnel and technical personnel capable of meeting contract requirements throughout the performance period of the contract?

Exceptional Very good Satisfactory Marginal Unsatisfactory Neutral

(11) How would you rate your contractor’s business practices, customer relationship, and ability to successfully perform? Did the contractor demonstrate a reasonable and cooperative business relationship with the Government’s Contract Management personnel?

Excellent Good Fair Unacceptable Neutral

Comments:

(12) How well did the contractor work independent of Government guidance, oversight and assistance?

Excellent Good Fair Unacceptable Neutral

Comments:

(13) Rate the contractor’s ability to manage subcontractors and explain any subcontracting issues (positive or negative) that impacted the performance of your contract.

Excellent Good Fair Unacceptable Neutral

Comments:

(14) How effective was the contractor’s management plan to ensure compliance with federal, state and local regulations? Did the contractor implement and follow their management plan?

(15) How innovative was the contractor in performing the technical aspects of this contract and resolving problems? How well did the contractor respond to and act on customer feedback? (Customer Satisfaction) Excellent Good Fair Unacceptable Neutral

Comments:

(16) How effective was the contractor in meeting Price/Cost performance targets and controlling contingencies (i.e. changes, etc.)?

Excellent Good Fair Unacceptable Neutral

Comments:

(17) How would you rate the Contractor’s overall performance?

Excellent Good Fair Unacceptable Neutral

Comments:

If you have any questions, please contact _Kristin Frantz__, phone _(678) 732-2641__.

THANK YOU FOR YOUR TIME AND QUICK RESPONSE.