Attach 04 Past Performance Questionnaire.pdf

H92222-11-R-0012

Attachment 04

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

Please use the following rating system and definitions to complete this past performance questionnaire.

In addition, there are “Yes/No” and comment only questions.

Highly Favorable - The contractor’s performance was superior and there would be no hesitation to do business with the contractor again. The contractor’s performance represents the best that could be expected from any contractor.

Favorable - The contractor’s performance was better than average and there would be a willingness to do business with the contractor again. The contractor cannot be considered Highly favorable but is above the average expected from any qualified contractor.

Unfavorable - The contractor’s performance was marginally acceptable as expected from a qualified source. Although there is a possibility of doing business with this contractor again, time might be spent looking for a better source.

Highly Unfavorable - The contractor’s performance was not acceptable and it is recommended that the US Government not do business with this contractor. There were numerous complaints about the contractor’s performance and overall the contractor’s performance was not acceptable.

Contractor under evaluation (Offerors to inset company name here):

QUESTIONS: (please circle or underline selection):

Schedule Planning & Control

1. How would you describe the contractor’s delivery of contract deliverables with respect to the original contract delivery schedule?

Highly Favorable Favorable Unfavorable Highly Unfavorable

Comments:

2. Did the contractor request any extensions to the contract delivery schedule? Yes No If yes, please indicate the number of and background information on the requests.

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3. If the required delivery schedule was modified, how would you describe the contractor’s delivery of contract deliverables with respect to the revised contract delivery schedule?

Highly Favorable Favorable Unfavorable Highly Unfavorable

Comments:

Quality Assurance:

4. How would you describe the quality of the delivered product?

Highly Favorable Favorable Unfavorable Highly Unfavorable

Comments:

5. Did the contractor request any modifications, including waivers or deviations, to the specification/requirement? Yes No If yes, in what areas and what was the ultimate impact on the products quality/performance?

Comments:

6. Has there been any Quality Deficiency Reports (QDR) issued under this contract? Yes No If yes, in what areas and what was the ultimate impact on the products quality/performance?

7. Has there been any warranty returns as a result of inferior quality? Yes No

Cooperation

8. How would describe the company’s history for reasonable and cooperative behavior

9. How would you describe the company’s commitment to customer satisfaction

10. How would describe the company’s businesslike concern for the interests of its customers

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11. Are you aware of the contractor's performance on any other contract(s), which we should be aware of in our evaluation of this contractor's performance? Yes No If yes, please provide point of contact, telephone number and address for further information.

12. Do you have any reservations about recommending a future contract award to this company?

Yes No If yes, please explain.

Comments:

13. What is you overall impression of the company in terms of Cost/Schedule Planning & Control, Quality Assurance and Cooperation?