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PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________
| __________________________ |
| __________________________ |
Brief Description of Work/Title of Effort: _____________________________________*
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.
B. RESPONDENT INFORMATION:
Name of Respondent: _____________________ Title: ____________________________
| Address: _____________________ | Telephone Number: ___________________ _____________________________ | Fax Number: | _____________________ |
| _____________________________ | Email Address: _____________________ | | |
C. 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.
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Not Applicable |
| During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded 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 were highly effective. |
| During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded some to the Government's benefit. The contractual performance of the element or sub-Velement being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| During the contract period, contractor performance meets or met contractual requirements. The contractual performance of the element or sub-element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| During the contract period, contractor performance does not or did 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. |
| During the contract period, contractor performance does not or did not meet most contractual requirements and recovery in a timely manner is not likely. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective. |
| Unable to provide a rating. Contract did not include performance for this aspect. Do not know. |
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 |
| VG |
| S |
| M |
| U |
| N |
| 1. |
| Provided experienced personnel with the technical and administrative abilities needed to meet contract requirements. |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4. |
| Provided and maintain uplink and downlink service to Government Equipment. |
| 5. |
| Capable of accessing designated full time satellites. |
| 6. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 7. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 8. |
| Provided timely resolution of contract discrepancies. |
| 9. |
| Identified problems as they occurred. |
| 10. |
| Capable of maintaining necessary equipment at teleport(s). |
| 11. |
| Capable of maintaining the capability to downlink and uplink ad hoc satellite space worldwide. |
| 12. |
| Capable of maintaining the capability to simultaneously ingest a minimum of six live video feeds. |
| 13. |
| Capable of maintaining the capability to simultaneously webcast 12 1080P High Definition (HD) streams via the DVIDS360 CMS. |
| 14. |
| Capable of editing video, print, publications, graphics, and photos. |
| 15. |
| Provided minor video production support. |
| 16. |
| Maintained social media accounts on Facebook, Twitter, YouTube, Flickr, Pinterest and Google +. |
| 17. |
| Provide network distribution support through dedicated, redundant web servers. |
| 18. |
| Provide various content delivery platforms and new emerging technologies. |
| 19. |
| Capable of transcoding all video and audio files. |
| 20. |
| Provided an email subscription service that utilizes an email delivery service like or similar to Mailgun. |
| 21. |
| Capable of managing a government web integrated database/content management system. |
| 22. |
| Capable of providing support to the Government at the Contractor’s facility. |
| 23. |
| Provided redundant, auto fail over capability for all online servers. |
| 24 |
| Capable of providing surge support as needed by the Government. |
| 25. |
| How would you rate the contractor's overall performance? |
| 26. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
| YES/NO |
| 27. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
| YES/NO |
| 28. |
| Is the contractor rated in Past Performance Information Retrieval System (PPIRS)? |
| YES/NO |
Remarks:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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