Exihibit_4_-_Past_Perf__Questionnaire.doc

DOC document 67 KB Posted

Attached to
Systems Engineering Support Services Federal contract opportunity
Solicitation number
HQ0034-16-R-0133
Issued by
DOD Washington Headquarters Service

About this file

Exhibit 4 - Past Performance Questionaire

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Text version

Past Performance Questionnaire

Instructions:

The company who has provided you with this form is proposing to submit an offer to provide Engineering Support Services for The Office of the Deputy Assistant Secretary of Defense, Systems Engineering. Past Performance is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important. Please review the definitions of adjectival ratings on page 3 before completing the questionnaire.

The entire questionnaire (pages 1-3) should be filled out and emailed to stormy.l.anthony.civ@mail.mil. This information will not be disclosed to the offeror. If you have any questions, please contact at the above email address or at 703-545- 9010.

Company Name & Address:

Contract Number:

Period of Performance:

Contract Value:

Contract Complexity (Routine, Moderate, or Difficult):

Contract Role (Prime, Subcontractor, Team Member):

Description of the Work Performed Under the Contract (please be specific about tasks performed):

Performance Survey

Performance Questions
E = Excellent ; G = Good; S = Satisfactory;

M = Marginal; U = Unacceptable; N/A = Not Applicable *See page 3 for additional information

No.
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?
4a
Contractor’s ability to identify and correct performance deficiencies in a timely manner?
4b
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 Contractor 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 actions were ineffective.

Not applicable: Does not apply to the acquisition.

Rater Information

Name:

Title:

Agency/Company:

Phone:

Email:

Signature (Digital or Wet)

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