Attach_8_PPQ.doc

Past Performance Questionnaire – Attachment 8

Past Performance Questionnaire

Purpose: This questionnaire will be used by the Contract Specialist to obtain past performance information from a reference listed in the Offeror’s proposal for solicitation number HSCG44-13-R-________.

Customer:

Service Description:

Contract Number:

Delivery Order/Task Order Number:

Dollar Amount:

Period of Performance:

POC/Contracting Officer

E-Mail Address:

Contractor Name:

Questions:

1. Briefly describe the deliverable/services purchased under the contract/delivery order referenced:

2. What was the contract type that services were provided under (Firm-Fixed Price, Cost Reimbursement, Time &Materials, etc.)? The dollar value of the contract and/or task order?

3. Did the Contractor perform services as the Prime or Subcontractor? If a subcontractor, what percentage of the work did the Contractor complete?

25%

40%

50%

60%

75%

4. Did the Contractor perform at the anticipated level of quality equal defined in the SOW? Yes/No.

5. If performance problems were encountered under the contract/task order, did the Contractor propose replacement of personnel or an alternate solution to meet the Government’s needs?

6. If you answered ‘yes’ to number 5 above, what alternative measures did the Contractor take to effectively handle problem(s) satisfactorily and in a timely fashion?

7. Would you recommend this Contractor to another Government agency in the performance of the same/similar services?

8. Was the Contractor committed to customer satisfaction on behalf of the customer?

9. How responsive was the Contractor to urgent requirements, change orders or modifications?

10. How would you rate the Contractor’s overall performance?

a) Superior

b) Satisfactory

c) Marginal

d) Unsatisfactory.

Past Performance Questionnaire