Attachment 5 - Past Performance Questionnaire.pdf

OM&P Past Performance Questionnaire 2012

Instructions:

The company who has provided you with this form is proposing to submit an offer to a

Directorate for Organizational and Management Planning (O&MP) solicitation to provide organizational, management, and planning support services. Past Performance is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important. The questionnaire should be filled out and emailed to catherine.stevens@whs.mil .

This information will not be disclosed to the offeror. If you have any questions, please contact

Catherine Stevens at Catherine.Stevens@whs.mil or at 703-545-0966.

Company Name & Address:

Contract Number: Period of Performance:

Contract Value: Complexity: Routine Moderate Difficult

Contract Role: Prime Subcontractor

Team Member

Description of the Work Performed Under the Contract

(Please be specific about tasks performed.)

mailto:catherine.stevens@whs.mil mailto:Catherine.Stevens@whs.mil

Performance Survey:

No Performance Questions E=Excellent G=Good

S=Satisfactory M=Marginal

U=Unacceptable

N/A= Not Applicable

Ratings (Mark an “X” in the appropriate

Selection)

E G S M U N/A

1. If applicable, how did the contractor perform during a transition of task from another firm?

2. General quality of services and support provided during their period of performance?

3. Content, accuracy, and timeliness of technical reports and deliverables?

4.a. Contractor’s ability to identify and correct performance deficiencies in a timely manner?

4.b. Contractor’s ownership of problems and actively working to resolve them?

5. Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner?

6. Ability to handle fluctuating workloads?

7. Communicating schedules, delays, and expectations and interfacing with

Government employees?

8. Overall Responsiveness to Government requests?

9. If performance based, how successful was the Contractor in meeting the contract metrics?

10. Overall Contract Performance Rating?

Additional Rater Comments About Contract Performance

Definitions:

Excellent: Performance meets contractual requirements and exceeds many to the Customer's benefit. The element being assessed 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 customer's benefit.

The 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 element being assessed 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 element being assessed reflects a serious problem for which the contractor has not yet identified or taken satisfactory corrective action.

Unsatisfactory: Performance does not meet most contractual requirements and recovery did not occur or is not likely to occur in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective action appear or were ineffective.

Not applicable: Does not apply to the acquisition.

Rater Information

Name Title Agency/Company

Phone: Email:

Signature (Digital or Wet)