Past_Performance_Questionnaire.pdf

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Floor Mat Cleaning and Rotation
Solicitation number
HQ042319R0005
Issued by

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Past Performance Questionnaire: Please have three previous customers complete this form. Return the three completed forms with your quote.

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Mat Lease/Cleaning Services - Limestone

Past Performance Questionnaire RFQ Attachment #2

The purpose of this questionnaire is to assist Defense Finance and Accounting Service (DFAS) with evaluating each contractor submitting a quote based on their recent and relevant performance providing consulting services under similar existing and prior contracts within the last 36 months. All potential contractors submitting a quote were instructed to provide references.

I. Instructions for Quoter:

All contractors submitting a quote in response to this DFAS solicitation must complete the Contract Information (Section III) of the questionnaire and then forward the questionnaire to each referenced agency or company POC for completion.

II. Instructions for Evaluator:

The contractor, identified in Section III, has submitted a response to a solicitation issued by DFAS Columbus, OH.

Your candid responses to this questionnaire will assist DFAS with evaluating the contractor’s past performance for a potential floor mat/rotation services contract.

Please verify the information within Section III and then complete Sections IV, VI, VII and VIII regarding the services received from the contractor.

In order to expedite receipt, the DFAS Contracting Office respectfully requests that all completed questionnaires are forwarded via email or fax to: Ms. Cecilia McLaughlin email: cecilia.m.mclaughlin.civ@mail.mil or fax:

614-701-2918, no later than the closing date specified in the solicitation.

Please contact Cecilia McLaughlin @ 614-701-2775 if you have any questions.

III. Contract Information

CONTRACTOR Name:

Address:

Contract #:

Contract Type:

Contract Value:

Period of Performance:

Requirement Description:

Agency/Company:

Agency/Company POC Phone/Email:

IV. Evaluator Information

Evaluator’s Name:

Title:

Organization:

Evaluator’s Phone/Email:

mailto:christine.scott@dfas.mil

V. Evaluation Definitions

The following definitions shall be utilized in your assessment of contractor performance.

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 was 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 was 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 a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NOT APPLICABLE or UNKNOWN- Unable to provide an assessment.

VI. Performance Evaluation

KEY: 5=EXCEPTIONAL 4=VERY GOOD 3=SATISFACTORY 2=MARGINAL

1=UNSATISFACTORY 0=NOT APPLICABLE / UNKNOWN

1. Degree of contractor’s expertise in understanding and meeting the contract requirements, objectives and specific tasks of the SOW and execution of the project?

5 4 3 2 1 0

2. To what extent did this offeror generally meet performance schedules? 5 4 3 2 1 0

3. Degree that the offeror demonstrated effective management for this contract? 5 4 3 2 1 0

4. Contractor’s ability to quickly discover and communicate potential problem areas and provide creative and feasible solutions during performance of your contract?

5 4 3 2 1 0

5. Contractor’s ability to submit complete and accurate invoices for payment of services provided and resolves any invoicing issues?

5 4 3 2 1 0

6. Effectiveness of the contractor to establish and maintain a positive and professional working relationship?

5 4 3 2 1 0

7. Were any cure notices, show cause letters, suspension of payment, or termination been issued during the performance of this contract? If yes, please explain below.

Yes No 0

8. Contractor’s ability to provide an adequate number of personnel with the appropriate skill sets to complete your requirement within schedule?

5 4 3 2 1 0

9. Contractor’s ability to manage its staff and key personnel turnover to minimize impact to contract performance?

5 4 3 2 1 0

10. If given an opportunity, would you conduct business with this offeror again? 5 4 3 2 1 0

VII. Overall Performance Evaluation

EXCEPTIONAL VERY GOOD SATISFACTORY MARGINAL UNSATISFACTORY

Please briefly explain rationale of your overall performance evaluation in Closing Comments Section VIII below:

Is contractor’s performance for this contract available in CPARS? YES_____; NO_____.

VIII: Closing Comments

Please provide rationale for the overall performance evaluation and any additional comments you feel would be pertinent regarding past performance of this company. Thank you.

PLEASE RETURN COMPLETED QUESTIONNAIRES to: 614-701-2918 (fax) or email to:

cecilia.m.mclaughlin.civ@mail.mil

CONTRACTOR Name:
Address:
Contract:
Contract Type:
Contract Value:
Period of Performance:
Requirement Description:
AgencyCompany:
AgencyCompany POC PhoneEmail:
Evaluators Name:
Title:
Organization:
Evaluators PhoneEmail:
undefined: Off
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5 4 3 2 1 0:
5: Off
4: Off
3: Off
2: Off
1: Off
0: Off
5_2: Off
4_2: Off
3_2: Off
2_2: Off
1_2: Off
0_2: Off
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5 4 3 2 1 0_2:
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0_3: Off
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5 4 3 2 1 0_3:
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5 4 3 2 1 0_4:
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Yes No 0:
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5 4 3 2 1 0_5:
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5 4 3 2 1 0_6:
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1_4: Off
0_4: Off
EXCEPTIONALRow1:
VERY GOODRow1:
SATISFACTORYRow1:
MARGINALRow1:
UNSATISFACTORYRow1:
YES:
NO:
PLEASE RETURN COMPLETED QUESTIONNAIRES to 6147012794 fax or email to:

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