PastPerformaneQuestionneire.docx

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Environmental Training Serivices
Solicitation number
N0024419R0029
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ATTACHEMENT 1

PAST PERFORMANCE QUESTIONNAIRE COVER SHEET

(NOTE TO OFFEROR: For each past performance questionnaire to be completed by a client and submitted to the Government as a reference, provide a copy of this cover sheet with your proposal identifying the client’s point-of-contact information. Ensure correct phone numbers and email addresses are provided for client poi not contact.)

1. OFFEROR:

2. FIRM BEING EVALUATED:

3. CONTRACT NUMBER:

4. TITLE OF CONTRACT:

5. REFERENCE ORGANIZATION NAME:

6. EVALUATOR’S CONTACT INFO:

a. NAME & TITLE:

b. PHONE NUMBER:

c. FAX NUMBER:

d. EMAIL ADDRESS:

PAST PERFORMANCE QUESTIONNAIRE

E (EXCELLENT) -

VG (VERY GOOD) -

S (SATISFACTORY) -

M (MARGINAL) -

U (UNSATISFACTORY) -

N (NEUTRAL) -

Please circle the letter of the adjective rating which best reflects your evaluation of the contractor’s performance.

1. Ability to meet quality standards specified for technical performance.E V S M U N
2. Compliance with contractual terms and conditions.E V S M U N

3. Compliance with contract delivery/completion schedules including any significant

intermediate milestones.E V S M U N
4. Quality/integrity of technical data/report preparation efforts.E V S M U N

5. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements. E V S M U N

6. Effectiveness of overall contract management (including ability to effectively lead,

manage and control the program).E V S M U N
7. Effectiveness of on-site management, including management of subcontractors?E V S M U N

8. Contractor was reasonable and cooperative in dealing with your staff (including

the ability to successfully resolve disagreements/disputes; responsiveness
to administrative reports).E V S M U N
9. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.E V S M U N
10. Ability to successfully respond to emergency and/or surge situations.E V S M U N
11. Effectiveness of material management.E V S M U N
12. Effectiveness of acquisition management.E V S M U N

13. Contractor proposed innovative alternative methods/processes that reduced cost,

improved maintainability or other factors that benefited the client.E V S M U N
14. Contractor’s management of their safety program.E V S M U N
15. Responsiveness regarding safety issues.E V S M U N

16. If this was a cost type contract, compliance with established budgets and avoidance of significant and/or unexplained variances (underruns or overruns). E V S M U N

17. If this is/was a Government cost type contract, the Contractor’s timeliness in submitting

monthly invoices with appropriate back-up documentation and monthly status
reports/budget variance reports.E V S M U N

18. If this is/was a Government cost type contract, the Contractor’s accuracy regarding

monthly invoices with appropriate back-up documentation and monthly status
reports/budget variance reports.E V S M U N
19. Ability to hire/apply a qualified workforce to this effort.E V S M U N
20. Ability to retain a qualified workforce on this effortE V S M U N

21. If this is/was a Government contract, has/was this contract been partially or completely

terminated for default or convenience or are there any pending terminations?
Indicate if show cause or cure notices were issued, or any default action in comment
section below.Yes No

22. Have there been any indications that the contractor has had any financial problem? If yes, please explain in comments section below. Yes No

23. In summary, provide an overall rating for the work performed by this contractor. E V S M U N

Any additional comments related to the contractor’s performance:

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