Past_Performance_Survey-Pool_Mgmt_Services-Apr17.pdf

PAST PERFORMANCE SURVEY

IN RESPONSE TO

SOLICITATION NO.: FA2860-17-R-0003

PROJECT: POOL MANAGEMENT SERVICES

A. NAME OF FIRM BEING EVALUATED:_______________________________________________

The above contractor has identified you and/or your company/agency as a reference for past performance information for the above referenced solicitation. Please complete this survey, evaluating the contractor’s performance under your contract, and return it to the 11th Contracting Squadron no later than 12:00 p.m. Eastern

Standard Time, 21 April 2017 via email at archie.y.warren.civ@mail.mil.

B. RESPONDENT INFORMATION:

Name and Title of Respondent: ___________________________________________________________

Company/Agency Name: ________________________________________________________________

Address: _____________________ _________________________________________________________

Telephone Number: ___________________ Fax Number: ____________________________

Email Address: _____________________

Project Title or Brief Description of Work: _________________________________________________

Contract Number: ____________________

Total Contract Dollar Amount: $ __________________*

Contract Completion Period (exact dates): __________________________*

*Note: If contractor holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

C. SOLICITATION-SPECIFIC QUESTIONS (check all applicable boxes):

1. The location where the contract above was performed in a (please specify):

Department of Defense installation: _____________________________

Public entity location (i.e. federal, state, county, local municipalities, etc.): __________________

Commercial entity location:______________________________

2. The work was performed in the:

Mid-Atlantic Region of the United States(Please specify State):________________

Other Geographical Region (Please specify State):____________________

3. The work was completed within the original period of performance:

Yes

No (if the period of performance was extended/changed, please explain why below):

mailto:archie.y.warren.civ@mail.mil

C. PERFORMANCE INFORMATION: Choose, by circling, the number on the scale of 1-5 or N, that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE

EXPLANATION FOR ANY RATINGS OF 1 OR 2.

RATING DEFINITION

N NEUTRAL Contractor’s performance cannot be rated.

1 UNSATISFACTORY Contractor’s performance did not meet most contractual requirements and recovery is unlikely in a timely manner. The contractual performance contained serious problem(s) for which the contractor’s corrective actions appeared or, if implemented, were ineffective.

2 MARGINAL Contractor’s performance did not meet some contractual requirements. The contractual performance reflected a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appeared to be only marginally effective and/or were not fully implemented

3 SATISFACTORY Contractor’s performance met contractual requirements. The contractual performance contained some minor problems, but the corrective actions taken by the contractor appeared, or were, satisfactory.

4 VERY GOOD Contractor’s performance met contractual requirements and exceeded some requirements to the Government’s benefit. The contractual performance was accomplished with some minor problems, but the corrective actions taken by the contractor were effective.

5 EXCELLENT Contractor’s performance met contractual requirements and exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with little, or had few, minor problems, and the corrective actions taken by the contractor were highly effective.

How would you rate the contractor's overall performance for this contract?

Remarks:

5 4 3 2 1 N

The contractor: RATING

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3. Provided effective quality control and/or inspection procedures to meet contract requirements.

4. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

5. Identified problems as they occurred and suggested alternative approaches to problems

6. Provided adequate project supervision.

7. Cooperated with Government personnel after award.

8. Was the contractor ever issued a cure or show cause notice under the referenced contract?

YES/NO

9. Would you award another contract to this contractor?

YES/NO

Please provide other additional information/comments, if any: ___________________________________