ATTACHMENT_C_Past_Performance_Questionnaire_ADGSS.doc

ATTACHMENT C Past Performance Questionnaire ADGSS

EVALUATION SURVEY OF CONTRACTOR’S PAST PERFORMANCE FORM

You have been reported as having recent experience with the provider of program management, business analysis, software application development, Operation and Maintenance (OM), enterprise testing operations and management support services. The U.S. Dept. of Education/Federal Student Aid (FSA) is evaluating proposals for application support services. To help FSA evaluate the Vendor’s past performance, would you please fill out this short survey and identify yourself at the bottom of the form. Please return it electronically via email to: FSAEAT@ed.gov. Questionnaire surveys are requested by 10:00AM, EST, September 16, 2016. Thank you in advance for your assistance.

Name of Contractor:

Contract No.:

Brief description of work:

Rating Instructions: In the column on the far right circle the number which corresponds to the performance rating for each category in the box on the left. Factors to be considered in evaluating each category are shown in the middle column. Circle the average score that best reflects all the factors considered, using a scale of 0 to 5, 5=Outstanding, 4=Excellent, 3=Good, 2=Fair, 1=Poor, and 0=Unsatisfactory (use N/A for not observed or inapplicable to your contract):

Staff were knowledgeable and training appropriately

Technical expertise; understanding of technical issues

Professionalism of key personnel

Accuracy in diagnosing problems

Reliability Degree of Offeror’s Involvement N/A

Additional Comments

TIMELINESS OF

RESPONSE

Adherence to milestones

Response was timely

Response was appropriate

Contractor-caused delays/problems

Timely administration/billing and submission of accurate reports N/A

Additional Comments

Project management and resource allocation; cost containment

Cost of the contract versus the value and timeliness of services and products received

N/A

Additional Comments

Effectiveness of solutions provided to your needs

Responsiveness to problems associated with contractor’s behavior, activities or attitude

Any awards to contractor for quality of work or termination’s for default or convenience Business-like concern for the interests of the customer/end-user

Prompt notification of problems; close, professional working relationships to solve issues

Maintaining qualified staff

(Please cite specifically in the Additional Comments) N/A

Additional Comments

Overall, on a scale of 0-5, how satisfied were you with this service contractor? _____

Please give us an idea of the size and scope of the contract you described above:

Total dollar award -

Length of contract -

Name:

Your Function:

Organization:

(Contracting Officer, Program Manager, etc.)

Fax:

Email:

Contract Type

Phone:

Date of Service

Total Contract Value

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