Form A - Past Performance Form.docx

RFP# 47PM0123R0023 FY24 NCR MATOC IDIQ

Past Performance Survey

NCR IDIQ

Company Name: (Insert here) FORM A - Past Performance Survey

National Capital Region Indefinite Delivery Indefinite Quantity Solicitation

Past Performance Project identification (To be filled out by the Offeror):

CONTRACTOR NAME:

Past Performance Reference Information (to be filled out by the Rater):

NAME:

Click here to enter text.

For each of the past performance criteria elements listed below, the rater must choose One (1) Adjectival Rating by checking the box as applicable. At a minimum, for any rating that is checked marginal or unsatisfactory, please submit additional comments to substantiate the rating. If Cost Control is N/A, please explain why.

Please check the level of the Contractor's overall performance in each of the business management factors listed below. Check "N/A" if the factor does not apply to the contract being rated.

Adjectival Rating

Point Value Definition

Excellent

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective

Good

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

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 appear or were satisfactory

Marginal

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

Unsatisfactory

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.

N/A

“No Point Value” Performance element is not applicable.

13. Were there any significant or recurring deficiencies? YES |_| NO |_| If yes, please explain:

14. Did the Contractor submit unnecessary proposals, which would increase the cost of the contract? YES |_| NO |_| If yes, please explain:

15. Did the Contractor have backup staff for sickness and vacations? YES |_| NO |_| If no, please explain:

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