Exhibit Q - Past Performance Survey.pdf
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- Solicitation number
- 36C25024R0061
About this file
This document is a Performance Confidence Assessment form that allows the government to evaluate a contractor's past performance on a previous contract or lease. The form covers a range of performance criteria, including delivery schedule, document submission, project management, customer service, and contractor-provided reports. The ratings range from "Excellent" to "Poor" based on the government's assessment of the contractor's performance. The form also includes a narrative section for the government to provide comments on the contractor's strengths, weaknesses, environmental compliance issues, and any reservations about using the contractor in the future. For government contracts, the form includes a section to indicate if the contract was partially or fully terminated for default or convenience.
The related federal contract opportunity is a draft Request for Lease Proposals (RLP) for the Martinsville Consolidated Clinic, a Department of Veterans Affairs (VA) facility. The RLP seeks 10,500 ANSI/BOMA Occupant Area square feet of contiguous space within a specified geographical area. The lease term is 20 years, 15 firm, with government termination rights. The government requires 40 secured and lit surface parking spaces, with 8 handicap accessible. The offered space must meet various requirements related to building quality, amenities, accessibility, and compatibility with the VA's intended use.
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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.
Q
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 .