Attachment 17 - RFP_Past performance questionnaire.docx

PAST PERFORMANCE INFORMATION

NIH CONTRACTOR PERFORMANCE RFP CUSTOMER SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return via regular mail or fax to the attention of:

O. Joy Ajao, Contract Specialist by: not later than 5 calendar days from the date of submission of your proposal (Name) (Date)

6011 Executive Blvd, Room 629D, Rockville, MD (Address)

(Fax Number) Phone # E-Mail 301-443-5655 ajaooj@mail.nih.gov

This survey pertains to: Food Services for NIH Bethesda (NIHOD2015049) ____________________________

Offeror/Vendor Name: __________________________

Contract Number: _______ Contract Title: _________ _______________

Name of Person Completing Survey: ________________________________ _____________________________

Signature of Person Completing Survey: _______________________ Date of Survey:

Your Company/Agency: _____________________________________________

Your Role in this Contract (circle one):

Contracting Officer Contract Specialist Project Officer Other

Contract Value (including options): $ ___________________________________

Performance Period: ____________________________ (including option periods)

Type of Contract: _________________________________________________

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

Information on subcontractor(s) (where more than % of work was completed by the subcontractor):

Subcontractor Program Manager Phone

Subcontractor Program Manager Phone

Subcontractor Program Manager Phone

General description of products/services required under the contract:

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support rating shall be noted on page 4.

Assign each area a rating of 0 (Unsatisfactory), 1 (Poor), 2 (Fair), 3 (Good), 4 (Excellent), or 5 (Outstanding). Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating. If you do not have enough personal knowledge or feedback from internal customers who directly received products and services from the contractor to make a determination on any of the performance criteria below, please circle "N/A" (not applicable/no opinion).

QUALITY OF SERVICE

COST CONTROL

TIMELINESS OF PERFORMANCE

6. Liquidated damages assessed: Yes No (circle one)

BUSINESS RELATIONS

CUSTOMER SATISFACTION

1. The contractor is committed to customer satisfaction.

Yes No (circle one)

2. Would you recommend selection of this firm again?

Yes No (circle one)

ADDITIONAL COMMENTS

(Attachment 17)

PAST PERFORMANCE INFORMATION

NIH CONTRACTOR PERFORMANCE RFP CUSTOMER SURVEY QUESTIONNAIRE

Rating Guidelines

QUALITY OF PRODUCT OR SERVICE

COST CONTROL

TIMELINESS OF PERFORMANCE

BUSINESS RELATIONS

0-Unsatisfactory

Contractor is not in compliance and is jeopardizing achievement of contract objectives

Contractor is unable to manage costs effectively

Contractor delays are jeopardizing performance of contract objectives

Response to inquiries, technical/ service/ administrative issues is not effective

1-Poor

Major problems have been encountered

Contractor is having major difficulty managing costs effectively

Contractor is having major difficulty meeting milestones and delivery schedule

Response to inquiries, technical/ service/ administrative issues is marginally effective

2-Fair

Some problems have been encountered

Contractor is having some problems managing costs effectively

Contractor is having some problems meeting milestones and delivery schedule

Response to inquiries, technical/ service/ administrative issues is somewhat effective

3-Good

Minor inefficiencies/ errors have been identified

Contractor is usually effective in managing costs

Contractor is usually effective in meeting milestones and delivery schedule

Response to inquiries, technical/ administrative issues is usually effective

4-Excellent

Contractor is in compliance with contract requirements and/or delivers quality products/services

Contractor is effective in managing costs and submits current, accurate, and complete billings

Contractor is effective in meeting milestones and delivery schedule

Response to inquiries, technical/ administrative issues is effective

5-Outstanding: The contractor has demonstrated an outstanding performance level in any of the above four categories that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances when contractor performance clearly exceeds the performance levels described as "Excellent."