HSFEHQ-08-R-0165 Past Performance Survey - Questionnaire.pdf

Source Selection Information - See FAR 2.101 and 3.104

PAST PERFORMANCE SURVEY

When responding to the questions, select the letter that most accurately describes the Offeror's performance. If the Offeror has no record of past performance relevant to a particular question, select “Not Rated”.

**Please Use the Comments Section on the last page to elaborate on any answer. ** Quality of Service

1. How would you rate the contractor’s ability to understand/comply with customer objectives and technical requirements?

E ____ S ____ U ____ NR ____

2. How would you rate the contractor’s effectiveness of assigned personnel in terms of the appropriate labor mix and experience to accomplish the requirement?

E ____ S ____ U ____ NR ____

3. How would you rate the contractor’s adequacy/effectiveness of their quality control program?

E ____ S ____ U ____ NR ____

Project Management, Timeliness of Performance & Business Relations

4. How would you rate the contractor’s effectiveness in overall contract management (including ability to effectively lead, manage and control the project)?

E S U NR

Excellent Satisfactory Unsatisfactory Not Rated

Performance in this area met all contract requirements and exceeded requirements to the customer’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Performance in this area met all contract requirements.

There might have been minor problems, which the contractor resolved .

Performance in this area did not meet contractual requirements.

There were serious problems, and the contractor’s corrective actions were ineffective.

No performance in this area required on contract.

FEMA Wireless Communications - RFQ #HSFEHQ-08-R-0165

E ____ S ____ U ____ NR ____

5. How would you rate the contractor’s adherence to contract schedules, including the administrative aspects of performance?

E ____ S ____ U ____ NR ____

6. How would you rate the contractor’s adherence to the contract budget?

E ____ S ____ U ____ NR ____

7. How would you rate the contractor’s timeliness/effectiveness in contract problem resolution without extensive customer guidance?

E ____ S ____ U ____ NR ____

8. How would you rate the contractor’s ability to successfully respond to emergency and/or surge situations?

E ____ S ____ U ____ NR ____

9. How would you rate the contractor’s effectiveness in material management (including Government Furnished Property or Material)?

E ____ S ____ U ____ NR ____

10. How would you rate the contractor’s proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer?

E ____ S ____ U ____ NR____

11. How would you rate the contractor’s implementation of responsive/flexible processes to improve quality and timeliness of support?

E ____ S ____ U ____ NR ____

12. How would you rate the contractor’s reasonableness and cooperation in dealing with your staff (including the ability to successfully resolve disagreements/disputes)?

E ____ S ____ U ____ NR ____

Transition/Phase-In & Employee Retention/Attraction

13. How would you rate the contractor’s ability to smoothly transition resources and personnel onto the project?

E ____ S ____ U ____ NR ____

14. How would you rate the contractor’s effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts?

E ____ S ____ U ____ NR ____

15. How would you rate the contractor’s ability to hire/apply a qualified workforce on this project?

Overall Assessment

16. Based on the above information and ratings, what is your overall satisfaction level with this contractor?

17. Based on the above information, what level of risk would you rate the contractor’s ability to perform on another relevant contract?

Very Low Risk Low Risk Moderate Risk High Risk

18. Would you use the offeror again?

Yes_______ No_______

Please explain if you answered “No”:

Please provide any other information and comments relating to this organization’s performance in the space provided below. You may attach extra Word documents if need be.

COMMENTS:

Offeror/Contractor Name: ______________________________________________________

Contract Name: ______________________________________________________________

Contract Value: ______________________________________________________________

Contract Period of Performance: _________________________________________________

Name of Person Responding: ___________________________________________________

Signature of Person Responding:

Title of Person Responding: ____________________________________________________

Telephone Number: __________________________________________________________

E-mail Address: _____________________________________________________________

Thank you for your assistance.