Past_Performance_Questionnaire(1-2).pdf

PAST PERFORMANCE QUESTIONNAIRE

Rating Guidelines

Summarize Contractor performance in each of the rating areas. Use the following instructions as guidance in making these evaluations.

Quality Timeliness Business Service/Work Cost Control of Performance Relations

-Compliance with - Within budget -Meet milestones - Effective management contract requirements - Current, accurate, -Reliable - Business correspondence -Accuracy of reports and complete -Responsive to - Responsive to contract -Appropriateness of -Relationship of technical direction requirements.

personnel. negated costs to -Completed on time - Prompt notification of contract -Technical excellence actual -Contract problems -Cost efficiencies administration -Reasonable/cooperative -Flexible Customer Satisfaction

- How pleased were you with performance

1, Unacceptable Nonconformances require Cost issues require major Delays require major response to inquiries, technical/ Major Agency resources to Agency resources to ensure Agency resources to ensure service/administrative issues is ensure achievement of achievement of contract achievement of contract marginally effective and contract requirements. requirements. requirements. responsive.

2. Poor Nonconformances require Costs issues require minor Delays require minor Responses to inquiries, technical/ Minor Agency resources to Agency resources to ensure Agency resources to ensure service/administrative issues is ensure achievement of achievement of contract achievement of contract somewhat effective and contract requirements. requirements. requirements. responsive.

3. Acceptable There are no quality problems. There are no cost issues. There are no delays. Responses to inquiries, The vendor performed services technical/service/administrative in accordance with requirements issues is effective and and schedule. responsive

4. Good The contractor has exceeded minimum performance levels in some or all of the above categories.

5. Excellent The contractor has demonstrated an exceptional performance level in some or all of the above categories.

(Check Appropriate Box)

Performance Elements

Excellent Good Acceptable Poor Unacceptable

Quality of Services/Work

Timeliness of Performance

Cost Control

Business Relations

Customer Satisfaction

1. Name & Title of Evaluator:_____________________________________________

2. Signature of Evaluator:________________________________________________

3. Name of Organization:_________________________________________________

4. Telephone Number of Evaluator:_________________________________________

5. State Type of service received:___________________________________________

6. State Contract Number, Amount and Period of Performance:

7. Remarks on Good or Excellent Performance. Please provide data supporting this observation? Continue on separate sheet, if necessary.

8. Remarks on Poor and Unacceptable Performance. Please provide data supporting this observation? Continue on separate sheet, if necessary.