CONTRACTOR PAST PERFORMANCE EVALUATION QUESTIONNAIRE.docx

The following questionaire shall be forwarded to all references provided

Request you provide the following information on the contractor’s present and/or past performance by placing an X in the space provided by the most appropriate response. If you wish to elaborate on your answer, please provide comments on the lines provided after each question. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submission to the 9th Contracting Squadron. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified contract. If no performance record is identifiable for a particular question, place an X below “N/A” (Not Applicable).

Performance Confidence Assessment:

Exceptional Confidence Based on the contractor’s performance, no doubt exists that you would hire them again for additional, similar work or that they would complete the work to your satisfaction in a timely manner.

Very Good Confidence Based on the contractor’s performance, minimal doubt exists that you would hire them again for additional, similar work or that they would compete the work to your satisfaction in a timely manner.

Satisfactory Confidence Based on the contractor’s performance, some doubt exists that you would hire them again for additional, similar work or that they would complete the work to your satisfaction in a timely manner.

Marginal Confidence Based on the contractor’s performance, substantial doubt exists that you would hire them again for additional, similar work or that they would complete the work to your satisfaction in a timely manner.

Unsatisfactory Confidence Based on the contractor’s performance, extreme doubt exists that you would hire them again for additional, similar work or that they would complete the work to your satisfaction in a timely manner.

CONTRACTOR PAST PERFORMANCE EVALUATION QUESTIONNAIRE

SECTION A - RESPONDENT IDENTIFICATION

Please provide information for the primary individuals completing this survey.

Name: ___________________________________________________________

Office Identifier: ___________________________________________________

Telephone Number: _________________________________________________

Mailing Address: ___________________________________________________

E-Mail Address: ____________________________________________________

Relation to Contract: ________________________________________________

Name: ___________________________________________________________

Office Identifier: ___________________________________________________

Telephone Number: _________________________________________________

Mailing Address: ___________________________________________________

Name: ____________________________________________________________

Office Identifier: ___________________________________________________

Telephone Number: _________________________________________________

Mailing Address: ___________________________________________________

CONTRACTOR PAST PERFORMANCE EVALUATION QUESTIONNAIRE

SECTION B

PLEASE COMPLETE THE FOLLOWING INFORMATION ON

THE CONTRACT YOU ARE INVOLVED WITH:

Contractor’s Name / Company Name: _______________________________________

Contractor’s Involvement: __ Prime Contractor __ Sub-Contractor

Contract Number: __________________________

Project Title: ___________________________________________________________

Project Description: _____________________________________________________ ____________________________________________________________________________________________________________________________________________

Period of Performance: __________________________________

Contract Amount: $__________________ or Range:\

__ $100,000 to $500,000

__ $500,000 to $1,000,000

__ $1,000,001 to $10,000,000

Contract Type:

__ Firm Fixed Price

__ Cost Reimbursement

__ Other (Specify) __________________________________________

Date Contract Awarded: _______________________

Contract Status: Still Active

__ Yes (If Yes, Contract Completion Date Including Extensions :_____________)

__ No (If No, Projected or Scheduled Date Project Completed :______________)

MANAGEMENT

Rate the contractor on his / her ability to provide adequate management, manning, and equipment to complete the work.

Comments: ______________________________________________________________________

Rate the contractor’s ability to respond to contingencies, emergencies, weather, and other environmental delays without falling behind the regular schedule.

Comments: ______________________________________________________________________

QUALITY CONTROL AND MATERIAL WORKMANSHIP

Rate the contractor on his / her ability to provide effective quality control and/or inspection procedures to meet accepted standards of good workmanship

Comments: ______________________________________________________________________

Rate the contractor on his / her ability to take appropriate action to correct deficiencies, in a timely manner, when identified.

Comments: ______________________________________________________________________

KNOWLEDGE AND PROFESSIONALISM

Rate the contractor on his / her knowledge and professionalism as applied to the subject contract.

Comments: ______________________________________________________________________

PROBLEM RESOLUTION

Rate the contractor’s ability to proactively recognize and resolve unanticipated difficulties. (Did the contractor display initiative to solve problems? Did the contractor identify risks/problems as they occur?)

Comments: ______________________________________________________________________

ADHERENCE TO SCHEDULES

Rate the contractor on his / her ability to complete the work within the time frame allocated.

Comments: ______________________________________________________________________

WORKING RELATIONSHIP

Rate the working relationship between the contractor and yourself or your organization.

Comments: ______________________________________________________________________

DESIGN CAPABILITIES

If the contractor provided complete or partial design services, rate his / her ability to address your needs and concerns in the design.

Comments: ______________________________________________________________________

ENVIRONMENTAL AWARENESS

Rate the contractor on his / her environmental awareness including compliance and initiatives such as use of recycled products, EPA-designated products, energy-efficient products, and Biobased products.

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A ( ) ( ) ( ) ( ) ( ) ( )

Comments: ______________________________________________________________________

CONTRACT PERFORMANCE

During the course of the subject contract, was the contractor ever placed on notice that his / her actions were jeopardizing the terms of the contract? (If “Yes”, please explain why.)

Comments: ______________________________________________________________________

During the course of the subject contract, were payments to the contractor ever withheld due to the contractor’s failure to perform in a satisfactory manner? (If “Yes”, please explain why.)

Comments:

SUMMARY:

Would you hire this contractor again?

Yes No

Comments:

Would you recommend this contractor to others?

Yes No

Comments: