Attachment 7 PAST PERFORMANCE QUESTIONAIRE.doc

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Polycom Video Teleconferencing Supplies and Services
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N00421-11-R-0047
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Attachment 7 Past Performance Questionnaire

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Questions 23 April.docx DOCX document
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N00421-11-R-0047 Amend 3.doc DOC document
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PAST AND PRESENT PERFORMANCE QUESTIONAIRE

(When Filled in this Document is Source Selection Sensitive IAW FAR 2.101 and 3.104)

IT IS THE SOLE RESPONSIBILITY OF THE OFFEROR TO ENSURE THAT ALL PAST PERFORMANCE SURVEYS ARE RECEIVED FROM THE RESPONDENT BY THE DUE DATE/TIME. THE GOVERNMENT WILL NOT BE HELD LIABLE FOR ANY RESPONSES NOT RECEIVED AS INSTRUCTED IN THE SOLICITATION.

STAND ALONE DOCUMENT SHALL BE LABELED: OFFEROR NAME-RESPONDENT NAME-QUESTIONAIRE: 11-R-0047

A. GENERAL INFORMATION:

OFFEROR’S INFORMATION:

Company/Organization Name: ____________________________________________________________________

Project Title or Brief Description of Work: __________________________________________________________

Contract Number Provided by Offeror: _________________________Dollar Amount: _______________________

Contract Period or Dates of Performance Provided by Offeror: ___________________________________________

RESPONDENT’S INFORMATION:

Name of Respondent: ______________________________________________________

Title:

Name of Company:

Address:

Telephone No:

Fax No:

Email Address:

*Note: If Offeror holds or has held other contracts with your agency/organization in the last 4 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the: Prime Contractor Subcontractor Key Personnel

B. EMAIL COMPLETED PERFORMANCE SURVEY TO: Angela Herndon at Angela.Herndon@Navy.mil

(continued)

C. PERFORMANCE INFORMATION: When responding to the following statements, circle the number on the scale of 1 to 2, which most accurately describes the contractor’s performance. If the statement is not applicable, circle Not Applicable (N/A). The numbers 1 to 2 correspond to the following adjectives:

1
UNACCEPTABLE
Performance did not meet contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
2
ACCEPTABLE
Performance met contractual requirements.

D. PAST PERFORMANCE QUESTIONS:

Did the Contractor:
U
A
1.
Provide experienced managers and supervisors with the technical and administrative abilities to meet contract requirements.
1
2
N/A
2.
Demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
1
2
N/A
3.
Delegate authority to project managers and supervisors commensurate with contract requirements.
1
2
N/A
4.
Home office participated in solving significant local problems.
1
2
N/A
5.
Provide effective quality control and/or inspection procedures to meet contract requirements.
1
2
N/A
6.
Correct deficiencies in timely manner and pursuant to their quality control procedures.
1
2
N/A
7.
Provide timely resolution of contract discrepancies.
1
2
N/A
8.
Identify problems as they occurred.
1
2
N/A
9.
Suggest alternative approaches to problems.
1
2
N/A
10.
Display initiative to solve problems.
1
2
N/A
11.
Develop realistic progress schedules.
1
2
N/A
12.
Meet established project schedules.
1
2
N/A
13.
Provide timely resolution of warranty defects.
1
2
N/A
14.
Responsive to contract changes.
1
2
N/A
15.
Provide adequate project supervision.
1
2
N/A
16.
Pay sub-contractors/suppliers in a timely manner.
1
2
N/A
17.
Provide accurate and complete line item cost proposals, including all aspects of work required for each task.
1
2
N/A
18.
Cooperate with Government personnel after award.
1
2
N/A
19.
How would you rate the Contractors overall performance?
1
2
N/A
20.
Was the Contractor ever issued a cure or show cause notice under the reference contract? If yes, please explain outcome in “remarks”
YES / NO
21.
Would you recommend using this contractor again? If not, please explain in “remarks”
YES / NO

REMARKS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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