ID04140153_Attachment_8_Past_Performance_Questionnaire.docx
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- Base Integrated Environmental Support Tasks (BIEST) Federal contract opportunity
- Solicitation number
- ID04140153
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Attachment 8 Past Performance Questionnaire
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GSA Federal Acquisition Service
PAST PERFORMANCE QUESTIONNAIRE
Instructions to Offeror: This questionnaire will be used in evaluating the offeror’s ability to perform the required services listed in the Performance Work Statement. The offeror shall provide their name, address and contract number to the current or former clients in order coordinate the completion of the Past Performance Questionnaire to be submitted by the client directly to the email address shown in instruction 2.
Instructions to Evaluator:
1. Please complete this questionnaire based on the following guidance:
a. Typed or handwritten responses to the questions and ratings in the Past Performance Questionnaire.
b. Indicate, based on the adjectival ratings below, the contractor's performance on the identified program. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:
| Rating |
| Definition |
| Exceptional |
| Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required work. |
| Good |
| Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required work. |
| Satisfactory |
| Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required work. |
| Marginal |
| Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required work. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements. |
| Unsatisfactory |
| Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required work. |
| Not Observed |
| This element was not observed. |
c. For each question please circle or bold one rating. Select "Not Observed" if you are unable to provide a score for an area.
d. Please provide narrative explanations for your answers. Space for your remarks is provided after each question. If more space is needed, use the back of this questionnaire or attach additional sheets.
e. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, you may provide comments on other similar programs with which your activity has contracts with this offeror.
2. Please return completed questionnaire by 01/30/2015 to: rebecca.taylor@gsa.gov
PAST PERFORMANCE QUESTIONNAIRE
Company Information
Company Name: _______________________________________________________________________
Contract/Task Number: __________________________________________________________________
Contract/Task Information
Title of Work Performed: ________________________________________________________________
Type of Contract: Firm Fixed Price, Labor Hour, Time & Materials, Cost-Reimbursement
Date of Award: _________________________________________________________________________
Period of Performance: ___________________________________________________________________
Dollar Value of Contract: ________________________________________________________________
Description of Work Performed: ___________________________________________________________
Evaluation
Note: A narrative is requested for each question below regardless of the evaluation.
1. The contractor provided effective and efficient management controls – Responsiveness, Management of Staff, and Project Management.
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
2. The contractor met schedule compliance – Milestones, Deliverables and Contract Activities) Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
3. The contractor proactively managed the contract to successfully deliver a quality service within cost and schedule constraints. This included providing proactive leadership and effective PWS integration.
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
4. The contractor provided quality customer relations and thorough contract administration. (reasonable and cooperative behavior and commitment to customer service) Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
5. How well did the contractor communicate and respond to issues at all levels.
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
6. The contractor provided experienced executives, project manager, and supervisors with the technical and administrative qualifications required, as well as responsive staffing and effective process management.
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
7. How well did the contractor comply with contract requirements, technical excellence and accuracy of reports.
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
8. How well did the contractor manage projects at geographical separated locations:
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
9. The contractor’s overall performance on this contract is/was:
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
10. The contractor’s overall performance on transitioning of the requirements:
Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed
11. Would you hire this company again? Yes No
Evaluator Information
Name of Evaluator: _____________________________________________________________________
Position/Title: _________________________________________________________________________
Organization: __________________________________________________________________________
Length of Involvement in Program/Contract: _________________________________________________
Phone Number: ________________________________________________________________________
Fax Number: __________________________________________________________________________
Email: ________________________________________________________________________________
Date Questionnaire Completed: ____________________________________________________________
ID04140153
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