PAST_AND_PRESENT_PERFORMANCE_QUESTIONNAIRE.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

DMA Closed Captioning Service

Solicitation No. HQ0516-15-R-0002

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: ____________________________ Fax Number: _________________________ ____________________________ Point of Contact: ______________________

(The government enters the following information based on list of references provided by the offeror.

The offeror will enter this information if the solicitation requires him to submit questionnaires to the references.)

Project Title and Brief Description of Work: ____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________*

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Do not list multiple task/delivery orders that’s assoicated with an IDIQ contract as one reference. Each task/delivery order will be counted as one reference.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ____________________ _____________________________ Fax Number: ________________________ _____________________________ Email Address: ________________________

C. FAX or EMAIL COMPLETED SURVEY FORM TO: Fax 301-833-498, Email Leila.s.miller.civ@mail.mil

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

mailto:Leila.s.miller.civ@mail.mil

E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

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 were satisfactory.

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 or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

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.

was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _________________ CONTRACT NUMBER: ________________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1. Demonstrated ability to provide live Closed Captioning services for broadcast and streaming events maintaining 95% accuracy rate.

2. Demonstrated ability to provide Offline Captions of pre-recorded media maintaining a minimum of 98% accuracy rate.

3. Demonstrated ability to provide Encoded Closed Captioning into the HD MXF file data track and return the same file format, maintaining a minimum of 98% accuracy rate.

4. Provide Closed Captioning services utilizing Secure File Transfer Protocol (SFTP).

5. Demonstrated ability to meet 24-hour turn-around time frame for approximately 40-80 individual commercials, averaging 30 seconds

The contractor: E G S M U N in length.

6. Provided Pop-on multipositional, Pop-on centered, and Roll up Closed Captioning styles.

7. Demonstrated ability to provide Offline Captioning files in the following file formats: (.SCC, .TXT, .SRT, .WebVTT)

8. Provided real-time/live closed captioning services for multiple data feeds simultaneously.

9. Provided timely resolution of contract discrepancies.

10. Identified problems as they occurred.

11. Suggested alternative approaches to problems.

12. Displayed initiative to solve problems.

13. Developed realistic progress schedules.

14. Met established project schedules.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

18. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

19. Cooperated with Government personnel after award.

20. How would you rate the contractor's overall performance?

21. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

22. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

23. Is the contractor rated in Past Performance Information Retrieval System (PPIRS)? YES/NO

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER ______________

Remarks:______________________________________________________________________