Attachment 18 Past Performance Questionnaire Template.doc

Attachment 18

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION HSFE80-12-R-0033

HOUSING INSPECTION SERVICES

Reference Provided for: _________________________________________________________

PLEASE RETURN COMPLETED SURVEY TO:

DHS/Federal Emergency Management Agency

Attn: Michelle Calhoun, Contract Specialist

500 C Street, S.W. – Patriots Plaza, 5th Floor

Washington, DC 20472-3205

Or Email: Michelle.Calhoun@fema.dhs.gov

PLEASE FILL IN THE FOLLOWING:

Your Name: _______________________ Your Agency/Company:_____________________ Address:___________________________________________________________________ Phone Number:_________________________ Fax :________________________________ Signature of Person Completing Survey:___________________________________________

1. Was the contractor’s managerial and technical capability effective?

2. Did the contractor use and maintain subcontractor relationships effectively?

3. Did the contractor utilize leading edge information technology to solve problems and improve the efficiency and effectiveness of its business processes?

4. Did the contractor conform to the contract statement of work and standards of good service?

5. Did the contractor adhere to contract schedules (both administrative and technical aspects of schedule compliance)?

6. Were you satisfied with the quality, timeliness, and cost effectiveness of the contractor’s work?

7. Was the contractor responsive in terms of exhibiting reasonable and cooperative behavior?

8. Was the contractor successful in containing costs and accurately forecasting costs?

9. Did the contractor demonstrate a commitment to and business-like concern for the interests of its customers?

10. Was the contractor successful in undertaking and completing innovative and complex tasks?

11. Were any contracts or tasks under contract terminated due to the contractor’s failure to perform or its inability to achieve satisfactory results?

12. Did the contractor receive any awards or special recognition for performance on projects of similar scope and complexity?

13. Did the contractor respond accurately, promptly, and in accordance with technical directions and/or changing contract requirements?

14. Did the contractor receive sufficient corporate support with respect to performance of the contract?

15. Would you award to this contractor again? Why or why not?

16. Additional comments.

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