Past_Performance_Questionnaire.docx

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Contract Financial Investigators
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HSSS01-14-R-0055
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Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

Offeror’s Name:

Request for Proposal:

Name of Person Completing the Evaluation:

Title:

Telephone:

E-mail:

Company/Organization:

Please rate the offeror in each of the following areas. Please feel free to add comments where you deem remarks would be helpful to our evaluation.

N/ANot Applicable
1Performance clearly below the contract performance standard or requirement
2Performance occasionally does not meet minimum contract performance standard or requirement
3Performance that meets the minimum contract performance standard or requirement
4Performance that meets and occasionally exceeds the contract performance standard or requirement
5Performance that almost always exceeds the contract performance standard or requirement

Overall quality/satisfaction Overall satisfaction with the Offeror’s performance

N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Delivery performance Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.

N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Satisfaction with the quality of service delivered Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.

N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Satisfaction with problem resolution This includes the offeror’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions.

N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Satisfaction with the quality of contractor personnel Rate the quality of the contractor’s staff in executing the project work scope.

N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Additional questions:

1. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years?

|_| Yes |_| No If Yes, please explain.

2. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.

3. Based on the offeror’s overall performance, would you award them another contract?

|_| Yes |_| No If No, please explain.

4. Have you discussed any adverse past performance problems with the Offeror and given them an opportunity to comment? |_| Yes |_| No Please explain.

5. Have you filed past performance information in CPARS? |_| Yes |_| No Please explain.

6. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.

7. What was the contract period of performance (i.e., when were services provided)?

8. What was the dollar value of the contract performed by the offeror?

9. Provide a brief description of the services provided by the offeror for this contract.

Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Offeror’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.

File details come from the government source that posted it. Updated .