Past_Performance_Questionnaire 1 .docx
DOCX document 14 KB Posted
- Attached to
- USCGC OAK DOCKSIDE REPAIRS Federal contract opportunity
- Solicitation number
- HSCG85-14-Q-P45386
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Past Performance Questionnaire
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PAST PERFORMANCE QUESTIONNAIRE (to be completed by Business for whom you performed work)
| 1. Contractor Name: |
| 2. Contract Number: |
3. Contract Type: ___Firm Fixed Price ___Cost Reimbursement ___ Other (Please Specify)
4. Agency Name:
5. Agency 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 |
| Poor |
| 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 |
| Fair |
| 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 |
| 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 |
| Excellent |
| There are no quality problems |
| There are no cost issues |
| There are no delays |
| Response is effective |
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