J-L-001 Past Performance Questionnaire Form_Grounds Maintenance and snow removal Services.pdf
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- Ground Maintenance and Snow Removal Services
- Solicitation number
- 692M15-26-R-00008
About this file
This is a Past Performance Questionnaire template used to collect and evaluate contractor performance data on previous federal contracts.
Part I of the form is completed by an offeror (contractor) requesting a reference and requires identification of the offeror, contract details, and program scope. The offeror must provide contract identification information including project title, contract number, contracting agency and point of contact, contract type and value, offeror's share of value, and whether the offeror served as prime or subcontractor. Additionally, the offeror must describe the program title and nature of effort, including scope, task types, labor skills, and products or support delivered.
Part II is completed by the respondent (typically the contracting officer or customer representative) and requires performance ratings across six evaluation categories using a four-point scale: 4 (Outstanding), 3 (Good), 2 (Satisfactory), and 1 (Unsatisfactory). The evaluation categories include Quality of Service (six subcategories covering compliance, accuracy, personnel knowledge and capability), Timeliness of Performance (three subcategories covering reliability, responsiveness, and schedule adherence), Cost Control (three subcategories covering billing accuracy and cost effectiveness), Program Management (four subcategories covering management planning and team dedication), and Customer Relationship (six subcategories covering management effectiveness, cooperation, responsiveness, and proactive performance). An Overall Customer Satisfaction section requires yes/no responses regarding contractor commitment at management and onsite facility levels. The form includes detailed Rating Guidelines defining performance standards for each rating level across quality, cost control, timeliness, and business relations dimensions.
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J-L-001 ATTACHMENT: PAST PERFORMANCE QUESTIONNAIRE
PART I (TO BE COMPLETED BY OFFEROR REQUESTING THE REFERENCE)
A. OFFEROR INFORMATION
Offeror Name:
Offeror Address:
B. CONTRACT IDENTIFICATION
Project Title:
Contract Number:
Agency/Customer:
Agency/Customer POC Name:
Agency/Customer POC Email Address
Contract/Order/Subcontract/Other:
Contract Type:
Contract Purpose (e.g., Service, Supply, Deveopment/First Article, R&D)?
Contract Award Date:
Period of Performance
Total Contract Value:
Value of Offeror’s Share
Was the Offeror a Prime Contractor? Yes No
Was the Offeror a Sub Contractor? Yes No
Competitive Award? Yes No
Program Title and nature of the effort (i.e., describe the scope of the effort, the type of tasks involved, labor skills used, and products/support delivered).
PART II (TO BE COMPLETED BY RESPONDENT)
Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support very high or very low rating should be noted on page 5.
Assign each area a rating of, 4 (Outstanding), 3 (Good), 2 (Satisfactory), and 1 (Unsatisfactory). Use the attached Rating Guidelines which is provided as Exhibit 1 as guidance in making these evaluations. Circle the appropriate rating.
A. IDENTIFICATION OF RESPONDENT
Name:
Title:
Telephone Number:
Address:
Email:
B. EVALUATION
QUALITY OF SERVICE:
# Category Rating
1 2 3 4 N/A
1 Compliance with contract requirements
2 Accuracy of reports
3 Level of knowledge, experience, and training of personnel
4 Capability of personnel to perform required services
5 Effectiveness of personnel in performing required services
6 Overall quality of service
TIMELINESS OF PERFORMANCE:
# Category Rating
1 2 3 4 N/A
1 Reliability
2 Responsive to technical direction
3 Meets contract delivery schedules and/or task deadlines
COST CONTROL:
Rating
1 2 3 4 N/A
1 Current, accurate and complete billings
2 Relationship of negotiated costs to actuals
3 Cost effectiveness
PROGRAM MANAGEMENT:
Rating
1 2 3 4 N/A
1 Adequate and complete management plan
2 Specific management team dedicated to this project
3 Indications that the provided team had experience in subcontractor management and surveillance
4 Process, or metrics, for the evaluation of their own overall management performance
CUSTOMER RELATIONSHIP:
Rating
1 2 3 4 N/A
1 Effective management, including subcontracts
2 Reasonable/cooperative behavior
3 Responsive to contract requirements
4 Notification of problems
5 Flexibility
6 Proactive vs. reactive
OVERALL CUSTOMER SATISFACTION:
Response
Yes No
1 The contractor is committed to customer satisfaction:
a. Contractor Manageent Personnel
b. Contractor Onsite Facility Personnel
ADDITIONAL COMMENTS:
Rating Guidelines Use the following definitions in your assessment of contractor performance.
RATING
QUALITY OF
PRODUCT OR
SERVICE
COST CONTROL
TIMELINESS OF
PERFORMANCE
BUSINESS
RELATIONS
4-Outstanding
Contractor is in compliance with contract requirements and/or delivers quality products/services
Contractor is effective in managing costs and submits current, accurate, and complete billings
Contractor is effective in meeting milestones and delivery schedules
Response to inquiries, technical/service/ administrative issues is effective
3-Good Minor inefficiencies/errors have been identified
Contractor is usually effective in managing costs
Contractor is usually effective in meeting milestones and delivery schedules
Response to inquiries, technical/service/administrati ve issues is usually effective
2-Satisfactory Some problems have been encountered
Contractor is having some problems in managing costs effectively
Contractor is having some problems meeting milestones and delivery schedules
Response to inquiries, technical/service/administrati ve issues is somewhat effective
1-Unsatisfactory
Contractor is not in compliance and is jeopardizing achievement of contract objectives
Contractor is unable to manage costs effectively
Contractor delays are jeopardizing performance of contract objectives
Response to inquiries, technical/service/administrati ve issues is not effective
J-L-001 ATTACHMENT: PAST PERFORMANCE QUESTIONNAIRE
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