ATT_2_Past_Perform_Survey_04CH.doc

CONTRACTOR PERFORMANCE EVALUATION SURVEY

COVER SHEET

Request for Quote Number: N68836-13-R-0073 RFQ closing date;

Submit completed Cover Sheet and Survey via fax or email to:

CONTRACTING DEPARTMENT

Fleet & Industrial Supply Center

Attn: Derek Devine

110 Yorktown Avenue, 3rd Floor

Jacksonville, FL 32212-0097

Phone: (904) 542-1090

Fax: (904) 542-1098 e-mail: derek.devine@navy.mil Name of company: _____________________________________________________________

Contract Number: _____________________________________________________________ Contract Type: ______________________________________________________________

Contract Amount: ______________________________________________________________

Contract Period of Performance (including all options) _________________________________

Product/Service Description: _____________________________________________________

Name, title and phone number of person completing questionnaire:

Length of time your firm has been involved with this company:__________________________

CONTRACTOR PERFORMANCE EVALUATION SURVEY RATING SHEET

Contractor: _________________________

RATING SCALE

Please use the following ratings to answer the questions. If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “NA”.

EVALUATION CRITERIA

Acceptable - The company’s performance was satisfactory and you would consider doing business with them again. There were minor performance problems which were satisfactorily corrected.

Unacceptable - The company’s performance was entirely unsatisfactory and you would not do business with them again under any circumstances. There were serious performance issues with the contractor for which the contractor’s corrective actions were ineffective.

Neutral - No record exists.

NOTE:

For statements indicating “Unacceptable” or “Outstanding”, please provide an explanation in the comments section of the survey.

CONTRACTOR PERFORMANCE EVALUATION SURVEY

acceptable Acceptable

A. QUALITY OF PRODUCT OR SERVICE:

(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship.

(2) The Contractor submitted accurate reports.

(3) The Contractor utilized personnel that were appropriate to the effort performed.

B. COST CONTROL:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Contractor demonstrated cost efficiencies in performing the required effort.

(4) The actual costs/rates realized closely reflected the negotiated costs/rates.

C. SCHEDULE:

(1) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

(2) The Contractor was responsive to technical and/or contractual direction.

D. BUSINESS RELATIONSHIPS:

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) and/or

Technical Point of Contact (TPOC) were apprised of technical, cost, and schedule issues.

(3) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

(4) The Contractor promptly notified the COR, TPOC, and/or

Contracting Officer in a timely manner regarding urgent issues.

(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

(7) The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.

E. CUSTOMER SATISFACTION:

(1) The products/services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or the TPOC.

(3) I am satisfied with the performance of the Contractor under this effort.

F. KEY PERSONNEL:

(1) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.

(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.

G. OTHER:

(1) Would you award this firm another contract? ( ) Yes ( ) No If you answered “No” provide an explanation.______________________________________________________________________

(2) Was the contract terminated for default? ( ) Yes ( ) No

If you answered “Yes”, provide an explanation. ___________________________________________

COMMENTS: (Required for ALL Unacceptable and Outstanding Ratings)