PAST_PERFORMANCE_INTERVIEW_FORM.doc

PAST PERFORMANCE INTERVIEW FORM

1.Contractor:

2.Customer:

3.Contract Number:

Period of Performance:

4.Contract Type:

Negotiated

Sealed Bid

Fixed Price

Cost Reimbursement

IDIQ

Other

5.Complexity of Work:

Difficult:

Routine:

Ratings: Summarize contractor performance and circle the appropriate rating for each category.

Quality of Product and Processes: Rating:

Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Compliance with contract requirements, accuracy of reports, appropriateness of personnel, and technical excellence)

Comments:

Timeliness of Performance: Rating: Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Met interim milestones, reliable, responsive to technical direction, and completed on time)

Comments:

Customer Satisfaction: Rating:

Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Satisfaction of end users with contractor’s service and product)

Comments:

Would you select this firm again? Please explain.

Interviewee Name:

FORMTEXT

FORMTEXT

FORMTEXT

Signature:

FORMTEXT

FORMTEXT

FORMTEXT

Phone Number:

FORMTEXT

FORMTEXT

FORMTEXT

Fax Number:

FORMTEXT

FORMTEXT

FORMTEXT

Date:

FORMTEXT

Interviewer Name:

FORMTEXT

FORMTEXT

FORMTEXT

Signature:

FORMTEXT

FORMTEXT

FORMTEXT

Phone Number:

FORMTEXT

FORMTEXT

FORMTEXT

Fax Number:

FORMTEXT

FORMTEXT

FORMTEXT

Date:

FORMTEXT

Evaluation Definitions –

The following Evaluation Rating Definitions should be used in the assessment of Contractor performance

(FAR 42.1503):

Exceptional - Performance meets and exceeds many contractual requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good - Performance meets and exceeds some contractual requirements. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.