Attachment_4_-_Past_Performance_Survey.doc

PAST PERFORMANCE SURVEY

ATTACHMENT (4)

FOR SOLICITATION NUMBER

Offeror’s Name:

Name of agency/activity completing questionnaire:

Name and title of the person completing questionnaire:

Length of time your agency/activity has been involved with the Offeror:

SUBMIT PAST PERFORMANCE QUESTIONNAIRE TWO WEEKS PRIOR TO THE CLOSING DATE OF THE SOLICITATION TO:

Naval Surface Warfare Center

4072 North Jackson Road

Suite 132, Code 021R Indian Head, MD 20640-5115 e-mail address: Yolanda.riley@navy.mil or FAX: 301-744-6567

RATING

Please use the following guidelines to answer the questions. The Offeror’s Past Performance will be considered ACCEPTABLE or UNACCEPTABLE as detailed below:

EVALUATION CRITERIA

ACCEPTABLE-The Offeror’s performance of previously awarded relevant contract(s) met or exceeded contractual requirements. The assessed prior performance was accomplished with very minor problems or some problems for which corrective actions taken, or proposed to be taken, by the Offeror were, or are expected to be, mostly effective. Performance over completed contracts ranged from adequate to the highest quality or exhibited a trend of becoming so. The Offeror’s past performance record leads to an expectation of successful performance.

UNACCEPTABLE-The Offeror’s performance of previously awarded relevant contract(s) did not meet some contractual requirements and recovery did not occur within the period of performance. The assessed prior performance reflected some serious problem(s) for which the Offeror either failed to identify or implement corrective actions in a timely manner, or for which the corrective actions implemented or proposed to be implemented were, or are expected to be, partially or mostly ineffective. Performance over completed contracts was consistently of mediocre or poor quality or exhibited a trend of becoming so. The Offeror’s past performance record leads to an expectation that successful performance will not be achieved, or might be difficult to achieve, or that it can occur only with increased levels of Government management and oversight.

CUSTOMER SATISFACTION

The referenced items met the customer’s needs.

TIMELINESS

The contractor’s delivered the items within the requested time frame.

TECHNICAL SUCCESS

The contractor ensured the items performed as required.

QUALITY

The contractor’s quality and reliability of items delivered.

PLEASE PROVIDE SUBJECTIVE RESPONSES FOR THE FOLLOWING:

1. Would you recommend this contractor for similar contracts? Please explain:

2. Have you experienced special or unique problems with the referenced contractor that the Government should be aware of in making our decision?

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