Past Performance Survey.doc

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Technical Support and Administrative/Management Support Services
Solicitation number
NIHAO200816
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Customer Survey Questionnaire

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National Institutes of Health

CONTRACT PERFORMANCE

RFP CUSTOMER SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return via fax to 301-480-0689 to the attention of Alexander Kramer or email this form to kramera@niaid.nih.gov. Form must be returned by 8/26/08 at 3:00 pm ET directly from the evaluator.

Baseline Information

This survey pertains to the company:

Date of Survey:

Name of Person completing survey:

Your company/Agency:

Contract Number(s):

Your role in this contract:

Contracting Officer

Contract Specialist

Project Officer

Other : ______________________

Contract Award Date:

Contract Expiration Date:

Contract Value including all option and option periods Type of Contract:

Approximate percentage of work being performed (or completed) by subcontractor(s): ______%

Subcontracting company names with Program Manager and phone numbers General description of products/services required under the contract:

Rating Guidelines - Answers may be indicated with a ( or (.

Quality of Product or Service

0 = Unsatisfactory 1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Outstanding

Unsatisfactory

Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

Poor

Overall compliance requires significant Agency resources to ensure achievement of contract requirements.

Fair

Overall compliance requires minor Agency resources to ensure achievement of contract requirements.

Good

There are no, or very minimal, quality problems, and the Contractor has met the contract requirements.

Excellent

There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government.

Outstanding

The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

1
2
3
4
5
N/A
1
Compliance with contract requirements
2
Accuracy of Reports
3
Effectiveness of personnel
4
Technical excellence

Cost Control

Unsatisfactory

Ability to manage cost issues is jeopardizing performance of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, this level of ability to manage cost issues constitutes a significant impediment in consideration for future awards.

Poor

Ability to manage cost issues requires significant Agency resources to ensure achievement of contract requirements.

Fair

Ability to control cost issues requires minor Agency resources to ensure achievement of contract requirements.

Good

There are no, or very minimal, cost management issues and the Contractor has met the contract requirements.

Excellent

There are no cost management issues and the Contractor has exceeded the contract requirements, achieving cost savings to the Government.

Outstanding

The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where the contractor achieved cost savings and performance clearly exceeds the performance levels described as "Excellent".

1
2
3
4
5
N/A
1
Record of forecasting and controlling target costs
2
Current accurate and complete billings
3
Relationship of negotiated costs to actuals
4
Cost efficiencies

Timeliness of Performance

Unsatisfactory

Delays are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards.

Poor
Delays require significant Agency resources to ensure achievement of contract requirements.
Fair
Delays require minor Agency resources to ensure achievement of contract requirements.
Good
There are no, or minimal, delays that impact achievement of contract requirements.
Excellent
There are no delays and the contractor has exceeded the agreed upon time schedule
Outstanding
The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".
1
2
3
4
5
N/A
1
Met interim milestones
2
Reliability
3
Responsive to technical direction
4
Completed on time including wrap-up and contract administration
5
Met delivery schedules
6
No liquidated damages assessed

Business Relations

Unsatisfactory

Response to inquiries and/or technical, service, administrative issues are not effective. If not substantially mitigated or corrected it should constitute a significant impediment in considerations for future awards.

Poor

Response to inquiries and/or technical, service, administrative issues are marginally effective.

Good

Response to inquiries and/or technical, service, administrative issues are consistently effective.

Excellent

Response to inquiries and/or technical, service, administrative issues exceed Government expectation

Outstanding

The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent"

1
2
3
4
5
N/A
1
Effective management, including subcontracts
2
Reasonable/Cooperative behavior
3
Responsive to contract requirements
4
Notification of problems
5
Flexibility
6
Pro-active vs. reactive
7
Effective small/small disadvantaged business subcontracting program

CUSTOMER SATISFACTION

Yes
No

The contractor is committed to customer satisfaction.

Would you select this firm again?

ADDITIONAL COMMENTS:

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