ID07180034_Appendix_D_Beale_AFB_Past_Performance.pdf

APPENDIX D

PAST PERFORMANCE Evaluation Questionnaire Sheet

(NOTE: (NONOTE: This Attachment falls off of the PWS at the time of contract award).

A. GENERAL INFORMATION: One questionnaire should be completed by each past performance reference.

Contractor’s Name: _______________________________ Date of Completion: ___________________

Address: ______________________________________________________________________

Point of Contact and phone number: _______________________________________________________

Contract Number/Project Title: ___________________________________________________________

Contract Type: ________________________________________________________________________

Dollar Value: _________________________________________________________________________

Period of Performance: _________________________________________________________________

Did Contractor performed as the Prime Contractor or Sub-Contractor:____________________________

Brief narrative describing the nature and complexity of the work performed:________________________

B. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. Please provide comments for ratings of Unsat, or Marginal.

a. QUALITY OF SERVICE Unsatisfactory Marginal Satisfactory Very Good

Exceptional N/A

Comments:

b. SCHEDULE COMPLIANCE Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A

c. COST CONTROL Unsatisfactory Marginal Satisfactory Very Good

d. MANGEMENT CONTROLS Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A

e. MANAGEMENT OF KEY PERSONNEL Unsatisfactory Marginal Satisfactory Very Good

C. Given what I know today about the Contractor's ability to execute what they promised in their proposal, I (pick the following): ______ definitely would not, _____ might or might not, ______definitely would) award to them today given that I had a choice. [END]

** This form must be returned to the GSA Contracting Officer ONLY. Please send this completed for to the CO at the following email address: anthony.brown@gsa.gov by mailto:anthony.brown@gsa.gov