Past_Performance_Questionnaire.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

Contractor’s Name: ____________________

Solicitation Number: _______________________

Reference Name: _________________________ Reference Tile:________ ______________ (COR, Engineer, etc.)

Email: ___________________________________ Telephone Number: ___ ______________

Contract Number, if any: _ __________________ Dollar Amount: $_ ___________

Description of Work (Relevancy): __________________________________________________

Contract Period of Performance (Recent): ____________________________________________

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

PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

The contractor: Rating Scale (Legend on Pg 2) E G S M U N

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

2. Home office participated in solving significant local problems.

3. Met delivery times and or notified user of delays timely.

4. Provided timely resolution of contract discrepancies.

5. Replaced damaged furnishings in a timely manner.

6. Cooperated with Government personnel after award.

7. How would you rate the contractor's overall performance?

8. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” YES/NO

9. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Additional Comments: ___________________________________________________________

Attachment 4

RATING SCALE – PAST PERFORMANCE

E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

Attachment 4