ATTACHMENT_III-_Past_Performance_Questionnaire.pdf

Attachment III

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

Solicitation EA133W-16-RP-4036

Complete and return NLT 4:00 PM EST May 6, 2016 to:

NOAA’s Eastern Acquisition Division Attn: Shaun Squyres Phone: (757) 441-3413 Email: shaun.squyres@noaa.gov and jennifer.andrews@noaa.gov

On behalf of (Requester Information):

Company's Name: _________________________________ POC/Title/Position: _________________________________ Email Address: _________________________________ Contract/Purchase Order No.: _________________________________ Contract Amount: _________________________________ Contract Type: _________________________________ Period of Performance: _________________________________ Business Address: _________________________________

Phone Number: _________________________________

NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS

REQUEST

The completion of this questionnaire is requested from your agency/company in order for the National Oceanic and Atmospheric Administration’s Eastern Acquisition Division to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the Government, relative to the award of a contract.

Completed by :

Command/Company’s Name: _________________________________ POC/Title/Position: _________________________________ Email Address: _________________________________ Address: _________________________________ Phone Number: _________________________________ mailto:shaun.squyres@noaa.gov

Using the Adjectival Ratings below, please rate the Contractor on the following Past Performance elements:

Rating Definition

Outstanding Performance meets contractual requirements and exceeds many to the Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Acceptable Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unacceptable Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.

Not Applicable Past performance element does not apply to contractual requirements.

**If the Contractor is rated other than Satisfactory on any section, please provide a brief narrative explaining the rating.

1. Quality of Products or Services.

ADJECTIVAL RATING

Outstanding Acceptable Marginal Unacceptable Not Applicable

Explanation of Rating:

2. Schedule.

3. Cost Control.

4. Management.