5 - NDGPS RFP - Atth V- Past Performance Questionnaire --18 May 2012
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- Attached to
- Nationwide Differential Global Positioning System Engineering and Logistics Support (NDGPS) Federal contract opportunity
- Solicitation number
- HSCG44-12-R-P13005
About this file
RFP - HSCG44-12-R-P13005 Amendment A00001 Past Performance Questionnaire (Word)
Text of this file
Date: 18 May 2012
HSCG44-12-R-P-13005
PERFORMANCE QUESTIONNAIRE
Completed Questionnaire should be sent or emailed to:
Stephen.a.clark@uscg.mil :
UNITED STATES COAST GUARD
Command, Control, and Communication Center (C3CEN) Attn: Stephen Clark
4000 Coast Guard Blvd
Portsmouth, VA 23703-211
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
GENERRAL INFORMATION
| 1. CONTRACTOR NAME & ADDRESS: |
| 2. CONTRACT NO.: |
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $
6. TYPE OF CONTRACT:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
Please add a continuation page if additional space necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (PCO/COTR/OTHER) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: ___-___-____ . DURATION OF BUSINESS RELATIONS WITH NAMED FIRM: _________Years ________Months
Please Circle the response code which best reflects your experience with this contractor.
EX = 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 were highly effective.
VG = 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 were effective.
S = 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.
MG = 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 where not fully implemented.
US = 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 serious problem(s) for which the contractor’ corrective actions appear or were ineffective.
N/O = Not Observed
[Please Provide Comments to Identify Specific Strengths/Weaknesses in each area) see following pages
A. Technical
Competence and Skill of technical Staff
EX
VG
S
MG
US
N/O
Understanding of Electronic Systems
EX
VG
S
MG
US
N/O
Soundness of Business Model and Technical Approach
EX
VG
S
MG
US
N/O
Capability in Centralized Response & Dispatch
EX
VG
S
MG
US
N/O
B. Management-
Competence of management staff
EX
VG
S
MG
US
N/O
Soundness of management business model
EX
VG
S
MG
US
N/O
Recruitment and retention of qualified staff
EX
VG
S
MG
US
N/O
Cost accountability and accuracy of cost reporting
EX
VG
S
MG
US
N/O
Logistics Ability for Nationwide reach
EX
VG
S
MG
US
N/O
Ability to Manage Government Furnished Property EX
VG
S
MG
US
N/O
C. Customer Satisfaction-
Cooperation & Teamwork with customer
EX
VG
S
MG
US
N/O
Adherence to customer policies & contract performance standards
EX
VG
S
MG
US
N/O
Overall satisfaction with contractors performance EX
VG
S
MG
US
N/O
D.
Quality of Product/Service
EX
VG
S
MG
US
N/O
Schedule EX
VG
S
MG
US
N/O
Cost Control
EX
VG
S
MG
US
N/O
Management and Key personnel EX
VG
S
MG
US
N/O
9. Overall Assessment: (a) EXCEPTIONAL (b) VERY GOOD (c) SATISFACTORY (d) MARGINAL (e) UNSATISFACTORY (f) NOT OBSERVED
10. Any unsatisfactory performance identified above has been shared with the contractor. ( ) Yes: written or oral ? ( ) No
PLEASE PROVIDE COMMENTS TO IDENTIFY:
a. Specific Strengths/Weaknesses Related to Part 8 Above -- Please Cite the Alpha-Numeric Criteria Code.
b. Two or Three Best Corporate "Traits" or Skills Observed.
c. Any Areas of Performance that are the Most "Troublesome".
Signature of Respondent:_______________________________ Title: ___________________________________Date:___________________
Please add a continuation page for comments
Attachment V
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