Exhibit O - Past Performance Survey.pdf
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- Solicitation number
- 36C25024R0130
About this file
This is a Past Performance Survey template used to evaluate contractor performance on federal contracts and leases. The form uses a 4-level rating scale: Excellent (E) - no doubt exists about successful performance; Good (G) - little doubt exists with only minor issues; Poor (P) - extremely doubtful about successful performance with serious problems; and Neutral (N) - no performance record identifiable.
The survey evaluates performance across multiple areas including delivery schedule, document submission, project management, customer service, contractor professionalism, and timely reporting. It includes sections for narrative feedback on contractor strengths, weaknesses, environmental compliance issues, and future performance concerns. The form also asks about any contract terminations (default or convenience) and concludes with an overall performance rating and evaluator information. This appears to be Exhibit O associated with a VA lease solicitation for Health Services Research & Development administrative office space in Ann Arbor, Michigan.
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Text version
EXHIBIT
Performance Confidence Assessment
PERFORMANCE
Completed or complied with all aspects of the contract/lease for the following items (Select from the chart above and CIRCLE the appropriate LETTER):
Delivery Schedule: E G P N
Submitted all required documents timely: E G P N
Project Management: E G P N
Customer Service: E G P N
Contractor provided all services in a prompt, courteous and professional manner: E G P N
Contractor provided reports in a timely manner: E G P N
Past Performance
Rating Rating Description
E Excellent Essentially no doubt exists that the offeror will successfully perform the required effort based on its performed record. Lease or Contractual performance required no corrective action.
G Good
Little doubt exists that the offeror will successfully perform the required effort based on its performance record. Lease or Contractual performance encountered only infrequent, minor problems for which corrective actions taken by the Contractor were highly effective.
P Poor
It is extremely doubtful that the offeror will successfully perform the required effort based on its performance record. Lease or Contractual performance encountered serious problems for which the Contractor’s corrective actions were unacceptable.
N Neutral No performance record identifiable.
O
DRAFT
Provide any explanation you may feel is required to clarify any of the above responses:
SCHEDULE
S1. Ability to meet requirements of Required Schedule:
MANAGEMENT
Contractor provided experienced/qualified staff or personnel to meet contract requirements: E G P N
Contractor resolved customer complaints timely. E G P N
Narrative Summary
a. What were the contractor’s greatest strengths in the performance of the
b. What were the contractor’s greatest weaknesses in the performance of the
c. Were there any environmental compliance difficulties experienced during performance of this contract/lease?
d. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?
e. Are there any other issues not covered you feel important to note about performance of this contractor/ lease?
Part IV
Government contracts only: Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?
Yes ____ Default ____ Convenience _____ Pending Terminations ____ NO ____
If yes, explain (e.g., inability to meet price, performance, or delivery schedules, etc.)
Considering all the information provided above, by selecting one of the rating descriptions, please rate the contractor’s performance overall (Circle One):
File details come from the government source that posted it. Updated .