PAST_PERFORMANCE_QUESTIONNAIRE.PARKING.doc

HSHQDC-17-Q-00076

ATTACHMENT #2

PAST PERFORMANCE QUESTIONNAIRE

Name of Proposed Contractor:

Solicitation Number:

Name of Rater:

Phone:

Contract Type:

Place of Performance:

Performance Period:

Performance Grades

Exceptional – Contractor’s performance significantly exceeded most or all contract requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Very Good – Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory – Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal – Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginal effective or were not fully implemented.

Unsatisfactory – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problems for which the contractor’s corrective actions appear or were ineffective.

Please circle each of the areas below of the contractor’s past performance based on the comments provided by the customer.

1. Customer Satisfaction Commitment: To what degree was the Contractor considered responsive to and cooperative with customer personnel?

Unsatisfactory Marginal Satisfactory Very Good Exceptional

2. Quality of Service: This area of the questionnaire deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.

2a. Overall compliance with contract terms and conditions:

2b. Effectiveness and reliability of Contractor’s Key Personnel

Unsatisfactory Marginal Satisfactory Very Good Exceptional

2c. Adequacy of maintaining and controlling Government Equipment

3. Timeliness of Performance: This is the area that deals with the contractor’s ability to meet milestones and delivery schedules, to include responsiveness to technical direction, completion of efforts on time including wrap up and contract administration.

3a. Overall performance in planning, schedule, and monitoring

3b. Completion of major milestones on schedule:

3c. Responsiveness to contract changes from a contract administration perspective.

3d. Responsiveness to changes in technical direction.

3e. Timely Completion of efforts within period of performance.

4. Responsiveness/capability to respond to urgent/short term requirements.

4a. Efficiency in meeting cost targets without experiencing overruns.

4b. Ability to control costs through use of evolving technology and Commercial-Off The Shelf technology and such efficiency are share with the Government

5. Effectively assess impacts of changes on other associated projects, task and efforts.

6. Appropriately choose effective subcontractors and teaming partners and maintain good business relationships

Unsatisfactory Marginal Satisfactory Very Good Exceptional

7. Ability to solve contract performance problems without extensive guidance from Government personnel

Unsatisfactory Marginal Satisfactory Very Good Exceptional

7. Effectiveness in interfacing with Government personnel

Unsatisfactory Marginal Satisfactory Very Good Exceptional

8. Has the Contractor ever been given a cure notice, s show cause notice, suspension of progress payments, or other letters directing the correction of a performance problem?

Yes ________ No ________

If yes, please explain:

9. Changes in contract dollars value throughout the life of the contract are/were attributable, for the most part, to ( ) Government-issued change order, ( ) claims submitted by the contractor, ( ) other Government action, ( ) other contractor actions.

Please explain:

10. Based on this Contractor’s overall performance, would you award this Contractor another Government Contract?

Yes _______ No _______

If no, please explain:

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