N4571A-24-R-0004 Attachment 1 Past Performance Questionnaire.pdf
PDF 135 KB Posted
- Attached to
- Fitness Curriculum Design
- Solicitation number
- N4571A-24-R-0004
About this file
This document includes a past performance questionnaire and details of a federal contract opportunity for fitness curriculum design. The past performance questionnaire is a template for agencies to provide feedback on contractors' previous work, including ratings for quality of service, timeliness of delivery, and overall customer satisfaction on a scale of unsatisfactory to excellent. The related federal contract opportunity is a solicitation from the Commander of Navy Installations Command to design, develop, maintain, and provide customized training and learning solutions to enhance education, physical readiness, and career development for the Navy community. Services include curriculum design, development, and maintenance for courses to be delivered face-to-face, virtually, and asynchronously. The agency is the Department of the Navy Naval Supply Systems Command.
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| File | Type | Posted |
|---|---|---|
| N4571A-24-R-0004 Fitness Curriculum Design.pdf |
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Contract Performance Customer Questionnaire
1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information and will be sent directly to the Contract Specialist. This information is not to be released to the offeror. Completed questionnaires may be emailed to:
CNIC Millington, ATTN: Stephanie Blakey, Contract Specialist
5720 Integrity Drive, Bldg 457
Millington, TN 38055
Phone: (901) 305-9934 | Email: stephanie.a.blakey.naf@us.navy.mil
2. Please complete:
Company/Contractor Requesting Reference Agency/Company Name Providing Reference Company/Contractor Name Agency/Company Name
Point of Contact Name Point of Contact Name
Phone # POC E-mail / Phone #
E-mail address Period of Performance
Fax Number Supply/Service Provided
PAST PERFORMANCE RATING GUIDELINES
Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Poor, Fair, Good, or
Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for
“Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”
N/A - NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.
Ratings Quality of Service -Compliance w/contract requirements
-Technical excellence
-Within budget
-Relationship of negotiated costs to actual
Timeliness of
Delivery
-Met interim milestones
-Reliable
-Delivery Schedule achieved
Overall Customer Satisfaction
-Effective Mgmt
-Businesslike correspondence
-Responsive to contract reqmnts
-Prompt notification of problems
-Reasonable/cooperative
-Flexible
-Pro-active
Unsatisfactory Nonconformances are comprising the achievement of contract reqmnts
Delays are compromising achievement of contract reqmts
Response is not effective
Poor Nonconformances require major agency resources to ensure achievement of contract reqmnts
Delays require major agency resources to ensure achievement of contract reqmnts
Response is marginally effective
Fair Nonconformances require minor agency resources to ensure achievement of contract reqmnts
Delays require minor agency resources to ensure achievement of contract reqmnts
Response is somewhat effective
Good Nonconformances do not impact achievement of contract reqmnts
Delays do not impact achievement of contract reqmnts
Response is usually effective
Excellent There are no quality problems There are no delays Response is effective
NOTE: Please use adjectival ratings from attached sheet.
12. Evaluation Factor 13. Rating 13. Comments (Attach additional sheets, if necessary.)
a. Quality of Service
b. Timeliness of Delivery
c. Overall Customer Satisfaction
15. Would you select this company/contractor again? Please explain. (Attach additional sheet if necessary.)
16. Name & Date:
17. Title:
PAST PERFORMANCE QUESTIONNAIRE
1. Company/Contractor Being Referenced: 2. Solicitation/Contract Number:
3. Address: 4. Contract Type:
Firm Fixed Price
Cost Reimbursement
Other (Please Specify)
5. Agency/Company Completing Reference: 6. Agency/Company POC, Phone & Fax:
7. Period of Performance:
8. Overall Contract Value: $
9. Title of Contract:
10. Description of Contract Service:
11. Complexity of Work: Difficult: Routine:
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