Past_Performance_Questionaire.pdf

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S

PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts Acceptable Unacceptable

b) Ability to meet quality standards specified for technical performance Acceptable Unacceptable

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance Acceptable Unacceptable

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

Acceptable Unacceptable

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

Acceptable Unacceptable

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract Acceptable Unacceptable

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project? Acceptable Unacceptable

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

Acceptable Unacceptable

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? Acceptable Unacceptable

d) Overall customer satisfaction Acceptable Unacceptable

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? Acceptable Unacceptable

b) Ability to hire, apply, and retain a qualified workforce to this effort Acceptable Unacceptable

c) Government Property Control Acceptable Unacceptable

d) Knowledge/expertise demonstrated by contractor personnel Acceptable Unacceptable

e) Utilization of Small Business concerns Acceptable Unacceptable

f) Ability to simultaneously manage multiple projects with multiple disciplines Acceptable Unacceptable

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes Acceptable Unacceptable

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) Acceptable Unacceptable

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)? Acceptable Unacceptable

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client Acceptable Unacceptable

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

Acceptable Unacceptable

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. Acceptable Unacceptable

e) 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.

Acceptable Unacceptable

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. Acceptable Unacceptable

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

Acceptable Unacceptable

b) Contractor complied with all security requirements for the project and personnel security requirements. Acceptable Unacceptable

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

Acceptable Unacceptable

b) Compliance with contractual terms/provisions (explain if specific issues) Acceptable Unacceptable

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor. Acceptable Unacceptable

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide brief narrative addressing specific weaknesses, deficiencies, if any or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):