Solicitation Attachment 2 -

Solicitation (FA5270‐09‐R‐0013) Attachment 2 – (b)

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* Note: If offeror 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.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number: _____________________ _____________________________ Email Address: _____________________

C. FAX COMPLETED SURVEY FORM TO: __________________________________

D. 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.

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.

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.

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

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Place an “X” in the appropriate column using the definitions matrix above.

The Contractor: E G S M U N

(1). Quality of Service

1. Met minimun requirements of the contracct.

2. Followed approved quality control plan.

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

4. Overall Rating of Quality of Service.

(2) Schedule (Timely Performance)

1. Identified problems as they occurred.

2. Developed realistic progress schedules.

3. Met established project schedules.

4. Displayed iniative to solove problems.

5. Responded emergency requiremet in timley manner.

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

7. Provided timely resolution of contract discrepancies.

8. Was responsive to contract changes.

9. Overal Rating of Schedule (Timely Performance).

(3) Cost Control

1. Paid subcontractors/suppliers in timely manner

2. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

3. Overall Rating of Cost Control.

(4) Business Relations

1. Coorperated with Government (or Requiring Entity) personnel after award.

2. Home Office participated in solving significant local problems.

3. Suggested alternative approaches to problems.

4. Overall Rating of Business Relations

(4) Management of Key Personnel

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. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Overall Rating of Management of Key Personnel.

(5) Compliance with Applicable Rules, Regulations, Laws, including applicable standards

1. Complied applicable rules, regulations, laws including envrionmental, safety, security and health standards.

2. Overall Rating of Compliance with Applicable Rules, Regulations, Laws, including applicable standards

How would you rate the contractor's overall performance?

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER __________

Remarks:______________________________________________________________________