Past_Performance_Questionnaire.docx
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- Solicitation number
- HSSS01-15-R-0010
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PAST PERFORMANCE QUESTIONNAIRE
ATTACHMENT 11
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/A | Not Applicable |
| 1 | Performance clearly below the contract performance standard or requirement |
| 2 | Performance occasionally does not meet minimum contract performance standard or requirement |
| 3 | Performance that meets the minimum contract performance standard or requirement |
| 4 | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| 5 | Performance 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.
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