J-L3__Contractor_Evaluation_Survey_-_HQ0034-13-R-0048.pdf

ATTACHMENT J-L3

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE

See FAR 2.101 and 3.104

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: CONTRACT VALUE: $ _

1. Please describe the service/supply provided by the Contractor for your firm.

2. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Outstanding (A), Very Good (B), Satisfactory (C), Poor (D), Unacceptable (F), Neutral (N). See last page for definition of ratings. For all rating areas please provide a brief explanation.

Outstanding (A)

Very Good (B)

Satisfactory (C)

Poor (D)

Unacceptable

(F) (N)

OVERALL PAST PERFORMANCE RATING

Please provide an overall rating of the contractor’s past performance for the referenced contract/delivery order.

EXPLANATION:

a.) QUALITY OF SERVICE:

Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence.

b.) TIMELINESS OR SCHEDULING OF

SERVICE/DELIVERIES:

Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.

c.) BUSINESS RELATIONS/CUSTOMER

SATISFACTION/SUBCONTRACTOR

RELATIONS

Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts.

Compliance with small business subcontracting plans and reporting requirements (if applicable).

d.) KEY PERSONNEL AND STAFFING (Including Subcontractors)

Quality of key personnel and how well key personnel managed their portion of the contract.

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

Demonstrated ability to hire, maintain, and replace, if necessary, qualified, licensed, certified personnel during the contract period.

3. Would you hire this contractor to provide services for your organization in the future? Y / N

Please provide additional comments using the space below, if desired.

COMMENTS:

Signed:__________________________________ Date: ______________________

Print Name: ______________________________

PAST PERFORMANCE DEFINITIONS

The following definitions are to be used when assessing past performance:

OUTSTANDING/VERY LOW PERFORMANCE RISK (A)

No doubt exists that the offeror will successfully perform the required effort.

VERY GOOD/LOW PERFORMANCE RISK (B)

Little doubt exists that the offeror will successfully perform the required effort.

SATISFACTORY/MODERATE PERFORMANCE RISK (C)

Some doubt exists that the offeror will successfully perform the required effort.

POOR/HIGH PERFORMANCE RISK (D)

Substantial doubt exists that the offeror will successfully perform the required effort.

UNACCEPTABLE/VERY HIGH PERFORMANCE RISK (F)

Extreme doubt exists that the offeror will successfully perform the required effort.

NEUTRAL (N)

The offeror, its subcontractors or team members and/or its key personnel have no significant performance record relevant or identifiable to the services to be performed.