J.3 Past Performance Form 2.pdf

Attachment J.3 Past Performance Form 2

Past Performance Form 2

Subject Line “Source Selection Information: Idaho, Montana, and Surrounding Areas

Multiple Award Task Order Contract (MATOC)

Project: Idaho, Montana and Surrounding Areas IDIQ MATOC

Evaluation Factor Rating System. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings:

N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory VG=Very Good E=Exceptional

• Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

• Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

• Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

• Very Good - Performance meets contractual requirements and exceeds some to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

• Exceptional – Performance meets contractual requirements and exceeds many to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

For ratings of “unsatisfactory” and “Marginal” please provide a brief explanation in the remarks section.

Company Name:

Project Name:

Submitted by:

Name

Phone:

Email:

Agency:

Technical (quality of product or service)

How would you rate the contractor’s quality of workmanship for work performed?

N/A U M S VG E

How would you rate the ability of the contractor to work within an environmentally sensitive area?

N/A U M S VG E

How would you rate the ability of the contractor to provide the right equipment and material to perform the required work?

N/A U M S VG E

Cost control (not applicable for firm-fixed-price or fixed-price with economic price adjustment arrangements).

How would you rate the contractor’s ability to control costs within the confine of the contract?

N/A U M S VG E

Schedule/Timeliness

How would you rate the contractor’s adherence to the approved schedule? N/A U M S VG E

Management

Did the contractor’s QC program effectively monitor all work?

N/A U M S VG E

Did the contractor complete work in accordance with the specifications?

N/A U M S VG E

How would you rate the contractor’s ability to promptly resolve problems?

N/A

U

M

S

VG

E

Did the contractor comply with all known laws and regulations?

N/A

U

M

S

VG

E

Small Business Contracting

Demonstrated a good faith effort to meet all of the negotiated subcontracting goals in the various socio-economic categories?

N/A U M S VG E

Utilized Small Business Concerns and met any other small business participation requirements included in the contract/order?

N/A U M S VG E

Other:

Customer Satisfaction: Was the

Contractor committed to customer satisfaction?

Yes No

Safety: Was the Contractor committed to running a safe operation?

Yes No

Remarks: