ATTACHMENT_5_-_Past_Performance_Questionnaire.docx

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USCGC BERTHOLF (WMSL 750) DRY DOCK REPAIRS FY14
Solicitation number
HSCG85-13-R-P45N36
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ATTACHMENT 5 - Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

For Solicitation No: HSCG85-13-R-P45N36

Name of contractor questionnaire is being completed for:

1. Name of agency or company completing questionnaire:
2. Contract Number:

3. Contract Type: ___Firm Fixed Price ___Cost Reimbursement ___ Other (Please Specify)

4. Agency/Company Name:

5. Agency/Company POC:

Phone:

Email:

6. Place of Contract Performance:

7. Period of Performance:

8. Dollar Amount of Award:

Total Dollar Value with Mods:

9. Title of Contract:

10. Description of Contract Service:

11. Complexity of Work: Difficult: ____________ Routine: ____________

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor
13. Comments (Attach additional sheets, if necessary.)
14. Rating

a. Quality of Work

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Cost/Budget Control

15. Would you select this firm again? Please explain. (Attach additional sheet if necessary.)

16. Name & Date:
17. Title:

PAST PERFORMANCE RATING GUIDELINES

Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Poor, Fair, Good, Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings
Quality of Work/

Personnel/Service

-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence

Cost Control

-Within budget -Current, accurate, complete billings -Relationship of negotiated costs to actual -Cost efficiencies -Change orders issued Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time Business Relations/Sub Contractor Mgmt

-Effective Mgmt -Businesslike correspondence -Responsive to contract reqmnts -Prompt notification of problems -Reasonable/ cooperative -Flexible -Pro-active -Effective SB/SDB Subcontract Program

Unsatisfactory
Nonconformances

are comprising the achievement of contract reqmnts

Cost issues are comprising performance
Delays are compromising achievement of contract reqmts
Response is not effective
Marginal
Nonconformances

require major agency resources to ensure achievement of contract reqmnts

Cost issues require major agency resources to ensure achievement of contract reqmnts
Delays require major agency resources to ensure achievement of contract reqmnts
Response is marginally effective
Satisfactory
Nonconformances require minor agency resources to ensure achievement of contract reqmnts
Cost issues require minor agency resources to ensure

achievement of contract reqmnts

Delays require minor agency resources to ensure achievement of contract reqmnts
Response is somewhat effective
Very Good
Nonconformances

do not impact achievement of contract reqmnts Cost issues do not impact achievement of contract reqmnts

Delays do not impact achievement of contract reqmnts
Response is usually effective
Exceptional
There are no quality problems
There are no cost issues
There are no delays
Response is effective
Attachment 5HSCG85-13-R-P45N36
Page 1 of 3Past Performance

Questionnaire

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