PP_QUESTIONNAIRE.docx

DOCX document 19 KB Posted Nov 4, 2013

Attached to: Lease of Material Handling Equipment and Aerial Work Platforms
Solicitation number: N0040613R3078
Issued by: Department of the Navy Naval Supply Systems Command

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Past Performance Questionnaire

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File	Type	Posted
N00406-13-R-3078_RFP_EXHIBIT_I.xls	XLS spreadsheet	Nov 4, 2013
N00406-13-R-3078_04Nov13.doc	DOC document	Nov 4, 2013
CONTRACTOR_PERFORMANCE_ASSESSMENT_REPORT.docx	DOCX document	Nov 4, 2013

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PP QUESTIONNAIRE

(Offeror to distribute to Customer listed on Contractor Performance Questionnaire for Past Performance Assessment)

(Page 1 of 3)

PAST PERFORMANCE QUESTIONNAIRE

The contractor listed below is being considered for a contract award by FLC Puget Sound, Bremerton, WA. Your comments regarding this contractor’s past performance are appreciated.

This questionnaire must be received by the FLC Puget Sound Contracts Office no later than the due date of the Request For Proposal, which is:

26 Nov 2013

PLEASE NOTE: Contractors may be advised of adverse remarks and given the opportunity to respond per the Federal Acquisition Regulation requirements. However, the contracting officer will not provide your name or questionnaire to the contractor. The results of the questionnaires are reserved strictly for the source selection. To maintain the integrity of the source selection process, we request that you do not divulge the name of the contractor nor discuss your questionnaire comments with the contractor or any other individuals.

PROJECT TITLE:

Lease of Material Handling Equipment and Alternate Work Platform – Solicitation N00406-13-R-3078

DATE OF EVALUATION:

PAST PROJECT INFORMATION:

Name and Address of Contractor/Offeror being Evaluated:

Contract Number, Project Title, and Location:

After completing the Past Performance Questionnaire, please forward it directly to:

FORWARD DIRECTLY TO THE FLC PUGET SOUND CONTRACTS OFFICE VIA EITHER:

1) E-MAIL

2) FAX

Email Address: janet.m.baker@navy.mil Fax: 360-476-8701

FLC PUGET SOUND

CONTRACTING OFFICE

INFORMATION

Dept. of the Navy Regional Contracting Dept. Attn: Code 250.JB NAVSUP FLC Puget Sound 467 W Street Bremerton, WA 98314-5120

(Page 2 of 3)

PAST PERFORMANCE QUESTIONNAIRE

Contract Type:

Original Contract Value:

Current Contract Value:

Period of Performance (including any options exercised)

Brief Scope of Work:

EVALUATOR (this information will be kept confidential):

Name:

Title/Position Held during the Project:

Activity/Location:

Phone Number:

Email Address:

QUESTIONNAIRE RATINGS

(Please evaluate the contractor’s performance using the following ratings):

For questions 1 through 4, and section III a “yes”, “no” or “N/A” answer is sufficient. For questions in sections I through V choose a number on the scale of 1 to 5, with 1 representing “unsatisfactory”, 2 representing “marginal”, 3 representing “satisfactory”, 4 representing “very good” and 5 representing “exceptional” performance. Circle the number that most accurately describes the Contractor’s performance, or N/A for “not applicable”. Please add any comments and information (in the space provided on the last page) that may help to determine the Contractor’s probable future performance.

QUESTIONS – Please rate and provide any supporting information for the following questions:

RATING:

Would you award similar contracts to the Contractor in the future?

Y N N/A

Were any tasks or deliverable items cancelled due to the Contractor’s inability to meet the work requirements or cost objective?

Y N N/A

Was the Contractor cooperative in negotiations and resolving issues?

Y N N/A

Have any instances of adverse actions such as the assessment of liquidated damages or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices been issued?

Y N N/A

(Page 3 of 3)

PAST PERFORMANCE QUESTIONNAIRE

QUESTIONS – Please rate and provide any supporting information for the following questions:

RATING:

Quality of Product or Service:

1 2 3 4 5 N/A

Compliance with contract/task order terms and conditions:

1 2 3 4 5 N/A

Adherence to accepted technical and professional standards:

1 2 3 4 5 N/A

Ability to identify and solve problems expeditiously:

1 2 3 4 5 N/A

Contractor perform scheduled maintenance of units in timely manner

1 2 3 4 5 N/A

Contractor compliance with customers on-site requirements for any maintenance procedures:

1 2 3 4 5 N/A

Inspection Reports were accurate and complete:

1 2 3 4 5 N/A

Schedule

1 2 3 4 5 N/A

Adherence to contract schedules and/or milestones:

1 2 3 4 5 N/A

Timeliness of inspection and reports required by contract:

1 2 3 4 5 N/A

III

Cost Control

1 2 3 4 5 N/A

Contractor exceeded initially awarded contract or task order prices: If yes, describe below.

Y N N/A

Accuracy and completeness of invoices:

1 2 3 4 5 N/A

Contractor submitted requests for equitable adjustment and/or claims under the contract or task order. If yes, describe below.

Y N N/A

Management/Business Relations

1 2 3 4 5 N/A

Contractor exhibits reasonable and cooperative behavior (to include timely identification of issues in controversy):

1 2 3 4 5 N/A

Overall performance in planning, scheduling and monitoring:

1 2 3 4 5 N/A

Timeliness, completeness and quality of problem identification and corrective action plans:

1 2 3 4 5 N/A

Timeliness/Responsiveness to Customer Requests:

1 2 3 4 5 N/A

Overall communication with the Government:

1 2 3 4 5 N/A

Small Business Utilization. Answer the following questions:

Does this contract include a subcontracting plan?

Y N N/A

Is contractor meeting all subcontracting targets?

Y N N/A

Overall Performance

How would you rate the contractor’s overall performance on this contract:

1 2 3 4 5 N/A

Additional comments (this section provides space to comment on any of the answers in 1-4 and sections I-VI. Any other comments are also welcome in this section):

File details come from the government source that posted it. Updated Nov 14, 2017.