Past_Performance_Questionnaire.docx
DOCX document 15 KB Posted
- Attached to
- Buoyancy Assist Modules Federal contract opportunity
- Solicitation number
- N3225319R0023
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Text version
Past Performance Questionnaire
When filled in this document is source selection sensitive IAW FAR 3.104
1. Instructions Please complete this questionnaire and send the completed copy to the Contract Specialists, Charles Feldman and Robert Heffelfinger at charles.feldman@navy.mil and robert.heffelfinger@navy.mil.
Contract Identification
Contractor: Insert contractor name
Contract number: Insert contract number
Contract type: Insert contract type
Was this a competitive contract? (check one) Yes __ No __
Period of performance: Insert period of performance
Initial contract cost: Total Contract: Insert contract cost Current/final contract cost: Insert final contract cost
Reasons for differences between initial contract cost and final contract costs:
Description of service provided:
2. Evaluation Customer or agency name:
Geographic description of services under this contract (i.e. local, nationwide, worldwide, or other):
Evaluator's name and title:
Evaluator's phone/fax number:
Number of years evaluator worked on subject contract:
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
Table 1 – Definition of Terms
| (E) EXCEPTIONAL |
| The contractor has substantially exceeded the contract performance requirements. |
| (S) SATISFACTORY |
| There are no, or very minimal issues and the contractor has met the contract requirements. |
| (U) UNSATISFACTORY |
| Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. |
| (N) NOT APPLICABLE |
| Evaluation area not applicable to this contracted effort |
Table 2 – Evaluation Factors
| Overall Customer Satisfaction. |
| E |
| S |
| U |
| N |
How satisfied was the customer with firm’s demonstrated business-like concern for the interest of its customer?
How satisfied was the customer with the firm’s management of its internal or external design agent(s) in meeting the customer’s requirements?
Would the customer select this firm again? (Check Yes/No)
Technical Expertise
How well did the company perform touch labor services?
How well did the company provide competent and experienced personnel to perform on the contract/task order?
How well did the company provide competent and experience key personnel to perform on the contract/task order?
How well did the company provide personnel capable of meeting DoD guidelines for the contract/task order?
Quality of Product.
How well was the firm able to demonstrate compliance with contract requirements?
How well was the firm able to submit deliverables and accurately complete reports to the highest quality standards?
How well was the firm able to demonstrate appropriate levels of expertise and professionalism?
How well was the firm able to administer the contract in an acceptable and appropriate manner?
Timeliness of Performance.
How well was the firm able to meet all milestones as defined by the contract and customer?
How well was the firm able to complete deliverables in a timely manner?
How well did the firm respond to contract requirements and customer direction?
How was the firm’s overall reliability in performing in a timely manner?
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