ID04150085_Past_Perf_Questionnaire.docx

ID04150085 PAST PERFORMANCE QUESTIONNAIRE

1. Please complete this questionnaire based on the following guidance:

a. Handwritten responses are acceptable.

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:

Exceptional Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required work.

Very 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.

Neutral

No performance record identifiable (see FAR 15.305(a)(2)(iii) and (iv)).

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.

Unacceptable

Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required work.

c. For each question please circle one rating (Exceptional, Very Good, etc.). Circle "N/A" if you are unable to provide a score for an area.

d. Please provide narrative explanations for your questions. 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, we solicit your comments on other similar programs with which your activity has contracts with this offeror.

2. Please return completed questionnaire via email to: Patti.slay@gsa.gov and Faith.Shelton NLT 5:00 PM EST on September 24, 2015.

**NOTE: If possible please save the questionnaire as a PDF file.

Past Performance Questionnaire for ID04130129 Past Performance Questionnaire for ID04130129

PROGRAM IDENTIFICATION

A. CONTRACTOR: ____________________________________________________________________

B. CONTRACT NUMBER: ______________________________________________________________

C. CONTRACT TYPES (FIXED PRICE, COST REIMBURSABLE, etc.): _______________________

D. ESTIMATED AMOUNT OF ANNUAL VOLUME OF SERVICE: ____________________________

E. PERIOD OF PERFORMANCE: ________________________________________________________

F. BRIEF DESCRIPTION OF THE WORK PERFORMED:

PAST PERFORMANCE EVALUATION

Please note that a narrative is required for each question below regardless of the evaluation.

1. How well did the contractor provide effective and efficient management controls – Responsiveness, Management of Staff, and Project Management? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

2. How well did the contractor comply with schedule requirements – Milestones, Deliverables and Contract Activities? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

3. How well did the contractor communicate and respond to issues at all levels? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

4. How well did the contractor perform its staffing functions? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

5. How well did the contractor perform on quality issues – reports? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

6. What was the contractor’s overall performance on this contract? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

7. What was the contractor’s overall performance on transitioning of the requirements? (CIRCLE ONE) Exceptional Very Good Satisfactory Neutral Marginal Unacceptable N/A

8. Would you hire this contractor again? Please explain.

RESPONDENT INFORMATION

The following information will assist in the analysis of the data. This information will be kept confidential.

A. Name of Evaluator: _________________________________________________________________

B. Office Symbol/Phone No. (Commercial Only – No DSN): __________________________________

C. E-mail address: ____________________________________________________________________

D. Fax Number: ______________________________________________________________________

E. Position/Title: _____________________________________________________________________

F. Length of Involvement in Program/Contract: _____________________________________________

G. Date Questionnaire Completed: _______________________________________________________