Enclosure 4 Past Perf Questionnaire.doc

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HSCG23-10-Q-ADW020
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Enclosure 4 - Past Performance Questionaire

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EVALUATION OF CONTRACTOR'S CONTRACT PERFORMANCE

EVALUATION OF CONTRACTOR'S PERFORMANCE

This form MUST be filled out after completion of contract performance by the contractor. Guidance concerning completion of this form should be obtained from the contracting officer.

Contract No.:________________________________ Task Order No.:___________

Award Date:_________ Active? Yes___No___ Date contract/order completed:________

Total value (include options; contract modifications) $_____________________

Type of Service:______________________________________________________

Name of Contractor:

Address of Contractor:

Type of Evaluation:____Interim____Final for the period:_____________________

EVALUATION OF CONTRACTOR'S CONTRACT PERFORMANCE

PART I - EVALUATION OF CONTRACTOR'S PERFORMANCE

The contractor should be evaluated using the following ratings:

AA = Above Acceptable: Contractor exceeded the requirements. Explain how.

A = Acceptable: Contractor met the requirements. If the contractor had difficulty meeting the requirements, explain why.

BA = Below Acceptable: Contractor did not meet all of the requirements. Explain all noncompliance’s or unsatisfactory performance, and whether and how the contractor was at fault, where applicable.

N/A = Not Applicable. Does not apply to the contract.

1. Cost/Price Control. Rating: AA___A____BA____N/A____. Consider: Did the contractor complete the contract within the contract amount or did the contractor experience cost growth?

2. Schedule Control. Rating: AA____A____BA____N/A____. Consider: Did the contractor meet the original completion date? Request an extension due to reasons within its control? Finish ahead of schedule?

3. Contract Administration. Rating: AA____A____BA____N/A____. Consider:

Did the contractor respond to Government correspondence in a timely manner? Were unnecessary cost/price change proposals submitted? Were Government requested price changes submitted and negotiated promptly? Were contract modifications promptly executed? Were the subcontracts properly administered? Did the contractor comply with its subcontracting plan? Were progress reports submitted on time? Were invoices submitted correctly? Were contract discrepancies/problems reported promptly? Were major subcontracts administered properly?

4. Responsiveness to Government. Rating: AA____A____BA____N/A____. Consider: Were complaints from the Government resolved in a reasonable and cooperative manner? Were telephone calls responded to promptly? Were controversial issues resolved amicably? Was the contractor reasonable and responsive the Government's needs? How was the quality of service?

5. Contract Compliance with Technical Requirements.

Rating: AA____A____BA____N/A____. Consider: Were all of the contract requirements met? Were the objectives of the statement of work met? Were problems resolved? Will the delivered items or services be able to be used for the purpose intended? If not useable, why not?

EVALUATION OF CONTRACTOR'S CONTRACT PERFORMANCE

PART I - EVALUATION OF CONTRACTOR'S PERFORMANCE (CONT’D)

6. Key Personnel. Rating: AA____A____BA____N/A____. Consider: Did the personnel have the knowledge and expertise necessary to perform the technical requirements? Were changes in key personnel made? How often were they made?

7. Recommendation: Would you recommend award to this contractor for future contracts for like or similar requirements? Yes___No___. If no, please fully explain.

Name of Evaluator:__________________________Phone Number:_______________

(Technical)

Title of Evaluator:_____________________________________________________

Signature:__________________________________Date:_______________________

Enclosure 4

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