Past Performance Questionnaire.pdf
PDF 89 KB Posted
- Attached to
- Fleet and Family Support (FFSP) Global Staffing
- Solicitation number
- N4571A-25-R-0005
About this file
The document is a Contract Performance Customer Questionnaire used to evaluate and document a contractor's past performance across three key rating areas: Quality of Service, Timeliness of Delivery, and Overall Customer Satisfaction. The form provides detailed rating guidelines ranging from Unsatisfactory to Excellent, with specific criteria for each performance level. Contractors and reference agencies are expected to complete the form, which includes sections for identifying the companies involved, contact information, contract details, and performance ratings.
The questionnaire is specifically related to a Fleet and Family Support (FFSP) Global Staffing solicitation (N4571A-25-R-0005) by the Department of the Navy Naval Supply Systems Command. The form is designed to capture comprehensive performance feedback, with ratings based on contract compliance, technical excellence, budget adherence, milestone achievement, management effectiveness, and responsiveness to contract requirements. The completed questionnaire is to be sent directly to the Contract Specialist at CNIC Millington, with responses treated as source selection sensitive information and not to be released to the offeror.
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Other files
| File | Type | Posted |
|---|---|---|
| Clarification Q_A.xlsx | XLSX spreadsheet | |
| N4571A-25-R-0005 00006.pdf | ||
| Attachment 3 updated.pdf | ||
| N4571A-25-R-0005 Conformed Copy.pdf | ||
| DD254 updated.pdf | ||
| RFP questions Final.xlsx | XLSX spreadsheet | |
| N4571A-25-R-0005 00005.pdf | ||
| Attachment 5.pdf | ||
| Attachment 3.pdf | ||
| Attachment 9 DD-254.pdf | ||
| Attachment 8 QASP.pdf | ||
| N4571A-25-R-0005 Section B and C.pdf | ||
| Attachment 4.pdf | ||
| Attachment 2.pdf | ||
| N4571A-25-R-0005 00004.pdf | ||
| N4571A-25-R-0005 00003.pdf | ||
| N4571A-25-R-0005 00002.pdf | ||
| Past Performance Questionnaire.pdf | ||
| N4571A-25-R-0005 00001.pdf | ||
| N4571A-25-R-0005 RFP.pdf |
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Text version
Attachment 7
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: POC, Christopher Tullos
5720 Integrity Drive, Bldg. 457
Millington, TN 38055
Phone: (901) 305-0589 | Email: Christopher.l.tullos.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 mailto:Christopher.l.tullos.naf@us.navy.mil
Attachment 7
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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