ATTACHMENT_8_-_Past_Performance_Questionnaire.docx
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- FORT GORDON LANDFILL CLOSURES
- Solicitation number
- ISO0171-19
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ATTACHMENT 8 - PAST PERFORMANCE QUESTIONNAIRE
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ATTACHMENT 8 - PAST PERFORMANCE QUESTIONNAIRE
OFFERORS ARE TO COMPLETE PAGE 2 AND RETURN WITH THEIR PROPOSAL.
Rating Scale – Past Performance
Rating
Definition
Numerical
Adjectival
Exceptional
Performance meets contract requirements and significantly exceeds contract requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which proposed corrective actions taken by the contractor appear satisfactory, or completed corrective actions were satisfactory.
Marginal
Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has submitted minimal corrective actions, if any. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Poor
Performance does not meet contractual requirement and recovery is not likely in a timely or cost effective manner. The contractual performance of the element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
SOURCE SELECTION SENSITIVE – SEE FAR 2.101 AND 3.104
Past Performance Reference Questionnaire
| Item |
| Requested Information |
| Information Provided by Reference |
| A. |
| Contractor Name |
Contractor Address
| B. |
| Agency Contract / Order Number |
| Prime/Subcontractor |
| [ ] Prime [ ] Subcontractor |
If Subcontractor, Prime Contractor Name
| C. |
| Contract / Order Type |
| [ ] Competitive [ ] Sole Source |
[ ] IDIQ [ ] Requirements [ ] Other
[ ] Fixed Price or Fixed Unit Price [ ] Cost Reimbursement
| D. | |
| Initial Performance Dates | |
| From: | To: |
| Extensions | |
| From: | To: |
| E. |
| Contract Canceled Prior to Scheduled End Date? |
| [ ] Yes [ ] No |
| F. |
| Contracting Official - Name |
Title
Address
Telephone
| G. |
| Reference Giver - Name |
Title
Address
Telephone
Fax
Role in acquisition process
Extent of contact with vendor personnel (e.g.
daily, weekly, etc.)
| L. |
| Reference Questions |
| See Attached Table |
| M. |
| Comments |
(Attach additional pages as necessary)
| N. |
| DOJ Reference Taker - Name |
Contact Date (If taken over the Telephone)
Customer Satisfaction Survey
| Item |
| How do you rate the Vendor’s...? |
| Rating |
| Comments |
| 1 |
| ability to provide highly qualified personnel? |
| 2 |
| ability to resolve performance problems? |
| 3 |
| display of initiative in meeting requirements? |
| 4 |
| skill of vendor’s management and staff in performing their duties? |
| 5 |
| ability to submit timely and accurate invoices? |
| 6 |
| ability to comply with Labor, Safety and Environmental Standards |
Average Rating
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