PAST PERFORMANCE QUESTIONNAIRE.pdf
PDF 162 KB Posted
- Attached to
- Air Transportation Support Services Federal contract opportunity
- Solicitation number
- HSFEHQ-11-R-0007
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Past Performance Questionnaire
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Text version
ATTACHMENT TWO
PAST PERFORMANCE QUESTIONNAIRE
RFP #
NAME OF REQUESTED CONTRACTOR:
The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency. The Federal
Emergency Management Agency is considering this Contractor for Private Sector Engagement Support. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.
Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (Contracting Officer, Program Manager, or COTR) respond to this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate.
Agency/Owner Identification
Name (evaluator’s organization):
Respondents Name/Phone Number:
Contract Information
Contractor (company being evaluated):
Contract Number:
Contract Type
: FFP CPIF CPAF
CPFF T&M Other
Competitive: Yes No
Follow-On: Yes No
Period Of Performance:
Initial Contract Value:
Current Contract Value:
Has this contract been partially or completely terminated for default or convenience?
No Yes Default Convenience
If yes, please explain.
Brief Description of Product or Service Provided:
Contract Types: FFP = Firm Fixed Price; CPIF = Cost Plus Incentive Fee; CPAF = Cost Plus Award Fee;
CPFF = Cost Plus Fixed Fee; T&M = Time and Materials
QUESTIONS
1. To what extent did the Contractor adhere to contract delivery schedules?
Always met schedule
Occasionally had delays of less than 30 days
Experienced one or more delay of greater than 30 days
Never met schedule
2. To what extent did the Contractor submit required reports and documentation in a timely manner?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
3. To what extent were the Contractor's reports and documentation accurate and complete?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
4. To what extent was the Contractor able to solve contract performance problems without extensive guidance from government counterparts?
Considerably successful
Generally successful
Little success
No success
5. Did the Contractor commit adequate and appropriate resources (people, materials, equipment, funding) in a timely fashion to meet contract requirements and successfully solve problems?
Provided abundant resources
Provided sufficient resources
Provided minimal resources
Provided insufficient resources
6. To what extent did the Contractor submit required proposals and/or responses in a timely manner?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
7. To what extent did the Contractor’s performance of services fulfill contract requirements and customer expectations?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
8. Was the Contractor cooperative and responsive to changing needs of the customer?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
9. To what extent was the Contractor's problem tracking/reporting documentation timely, accurate, and of appropriate content?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
10. To what extent was the Contractor effective in interfacing with the Government’s staff?
Extremely Effective
Generally effective
Generally ineffective
Extremely ineffective
11. Were any instances of required re-work due to lack of quality control by the Contractor?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
12. To what extent did the Contractor coordinate, integrate, and provide for effective subcontractor management?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
13. Were the required Small Business utilization goals met?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
14. To what extent did the Contractor meet response times required by the contract?
Exceeded minimum requirements
Met minimum requirements
Less than minimum requirements
Not applicable
15. To what extent did the Contractor submit invoices in a timely and accurate manner?
Always
Most of the time
Some of the time
Seldom
16. To what extent did the invoices provide sufficient detail so that the Government/Owner could accurately evaluate the cost and performance progress?
Always
Most of the time
Some of the time
Seldom
17. To what extent did the Contractor deliver the services at the original agreed to price?
Always
Most of the time
Some of the time
Seldom
Are there any additional comments the Government should consider regarding this Contractor’s performance under your contract?
Your Name: Your Title/Position:
Company: Telephone No.:
Fax: E-mail address:
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