Attachment_5_-_PP_Questionnaire.pdf

FA462019QA008

Attachment 5

FA462019QA008

PACKING AND CRATING

SCHEDULE III

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

This Past Performance Questionnaire is For Information Only (FOI). This questionnaire is provide as an example of the types of questions that will be asked when the government contacts the reference provided by an offeror. No action is required by the o for this document.

Explanation of codes:

Code PERFORMANCE LEVEL

RATING DEFINITION

3 Satisfactory Confidence

Based on the offeror’s performance record, the respondent has an expectation that the offeror will successfully perform the required effort.

2 Limited Confidence Based on the offeror’s performance record, the respondent has a low expectation that the offeror will successfully perform the required effort.

1 No Confidence Based on the offeror’s performance record, the respondent has no expectation that the offeror will be able to successfully perform the required effort.

0 Unknown Confidence

No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

Place an “X” next to the appropriate number for each item on the questionnaire. If the contractor has no record of past performance relevant to a particular question, select “0” for “Unknown Confidence” and provide narrative justification.

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT INFORMATION: Complete the following information on:

a. Contractor (Company/Name/address):

b. Contract:

1. Number: ___________________________________________________

2. Period of Performance: From: __________________________________

3. Total Contract Amount: $______________________________________

4. What duties/responsibilities did this job entail?:

II. RESPONDENT IDENTIFICATION: Complete the following information on your company. You may be contacted for additional information pertaining to the past/present performance of the contractor identified in section I above. (The following information will assist in the analysis of the data. Information will be kept confidential)

a. Name: ____________________________________________

b. Position and Title: __________________________________

c. Phone Number: _____________________________________

d. Address:

CONTRACTOR PRESENT/PAST PERFORMANCE EVALUATION

1. How effective was the contractor’s recruitment plan for filling the required positions and providing replacements for personnel that discontinued employment under this contract?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

2. How well did contract personnel perform assigned duties?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

3. Were the contract employees knowledgeable and experienced in their position?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

4. How well did the contractor correct deficiencies and valid customer complaints in a timely manner and pursuant to their quality control procedures?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

5. Was the contractor responsive to contract changes?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

6. How effective was the contractor in maintaining professional business relationships with government personnel and in resolving contract issues?

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

7. How well did the contractor demonstrate the ability to employ, maintain, and replace, if necessary, qualified personnel during the contract period? Please explain.

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

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

3. ____2. ____1. ____0. ____

COMMENTS/REMARKS:

9. Did contract personnel possess all required training and certificates prior to starting? Yes/No ____

COMMENTS/REMARKS:

10. Were Contract Discrepancy Reports (CDR) issued, Yes/No ____ Were they addressed appropriately? Yes/No ______ If so, how?

11. Was the contractor ever issued a cure or show cause notice under the referenced contract? Yes/No ___

12. Would you award another contract to this contractor? Yes/No ____ Please explain in "remarks”.

REMARKS: