PPQ Emergency Vehicle Equipment Installation.doc
DOC document 59 KB Posted
- Solicitation number
- HQ0034-11-T-0064
- Issued by
-
DOD Washington Headquarters Service
About this file
(d) Past Performance Questionnaire
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Schedule - Emergency Vehicle Equipment Installation BPA.xls | XLS spreadsheet | |
| SOW Emergency Vehicle Equipment Installation BPA.doc | DOC document | |
| BPA Terms and Conditions - Emergency Vehicle Equipment Installation.docx | DOCX document |
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Past Performance Questionnaire
Your assistance is requested by the Acquisition Directorate for Washington Headquarters Services with establishing the performance history for the contractor named below for use in evaluation of solicitation HQ0034-11-T-0064. Please complete this questionnaire and return to the prospective contractor for submission with Quote.
When Complete, the information on this form is Source Selection Sensitive (41 USC 423): SAFEGUARD.
Contractor Name & Address:
Contract No.:
Contract Award Date:
Place of Performance:
Completion Date:
Contract Value:
Type of Contract:
Evaluator Name/Title/Phone:
Description of Contract Requirements:
Evaluation: Please provide comments, in the remarks section, for any “No” answer as well as any rating of Marginal (2) or Unsatisfactory (1)
*Ratings Categories: 1-Unsatisfactory, 2-Marginal, 3-Satisfactory, 4-Very Good, 5-Excellent, N/A-Not Applicable
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
1. Quality of Performance
| a |
| Your assessment of the quality of the contractor’s performance |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| b |
| Contractor’s Prompt notification of problems affecting performance. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| c |
| Demonstrated Corrective Action to Quality Assurance Problems. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
2. Timeliness
| a |
| The effectiveness of the contractor’s ability to meet milestones, adherence to contract schedules including contract administration |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| b |
| The contractor’s reliability and responsiveness to technical direction as it relates to timeliness. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| c |
| Was the contract completed on time? |
| Yes FORMCHECKBOX |
No FORMCHECKBOX
3. Business Relations
| a |
| To what extent did the contractor provide effective management? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| b |
| To what extent did the contractor demonstrate a cooperative and proactive behavior with technical representatives and the contracting office or Purchasing Agent? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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| c |
| To what extent was the contractor flexible, responsive to inquiries, resolving problems and satisfying the customer. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Would you recommend the award of similar contracts to this firm in the future?
FORMCHECKBOX
Yes
FORMCHECKBOX
No
*Ratings Definitions:
Exceptional: Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good: Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed 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 assessed 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 serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Remarks:
Has the information provided been previously shared with the Contractor-
FORMCHECKBOX
Yes
FORMCHECKBOX
No
Source Selection Information – See FAR 2.101 and 3.104
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