Attachment_3_Past_Performance_Questionnaire.pdf

Attachment 3

Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

RFQ# P15PS00823

Past performance information is required for technical evaluation of proposals submitted in response to RFQ# P15PS00484. The Offeror shall ensure that a Past Performance Questionnaire is completed for each project to be used to demonstrate experience in Volume I. Technical Quote

- Past Performance. The questionnaire is to be completed by the contracting activity (e.g., owners, clients, and prime contractors) responsible for the particular projects and furnished by the completing party directly to:

Patricia Petersky

Acting East MABO Lead Supervisor

U.S. Department of the Interior

National Park Service

Phone: (202) 619-7102

Email: Patricia_Petersky@nps.gov

MARK FOR: National Mall Goose Control Services

RFQ Number: P15PS00823

Past Performance Information

Note: Sections I and II shall be completed by the Offeror. The remaining portion will be completed by the respondent.

Remainder of this page intentionally left blank.

I. Contractor Identification

Contractor Name:

Contractor Address:

Contractor Key Personnel:

II. Contract Information

Program Name:

Client:

Contract Number: Check: ( ) Prime ( ) Sub

Contract Award Date: Contract Completion Date:

Contract Type: ( ) FFP ( ) Cost ( )

Other (Specify):

Contract Value:

Complexity:

Descriptions of Services:

III. Contractor Performance Ratings

Please rate the Contractor’s performance for items 1 through 4, utilizing the rating scales and rating guidance provided below:

1. Quality of Services

Compliance with contract requirements

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Accuracy of Reports ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Effectiveness of

Personnel

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Technical Excellence ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Overall Rating ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Comments:

2. Cost Control (Not required for Fixed-Price Contracts)

Forecasting and

Controlling Target

Costs

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Current, Accurate, and

Complete Billing

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Cost Efficiencies ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Overall Rating ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

3. Timeliness of Performance

Response to Technical

Direction

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Met Delivery

Schedules

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Overall Rating ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Comments:

4. Business Relations

Effective Management, including subcontracts

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( )

Outstanding

Flexibility ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent (

) Outstanding

Notification of problems

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent (

) Outstanding

Reasonable/Cooperative ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( behavior ) Outstanding

Overall Rating ( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent (

) Outstanding

Rating Guidance Quality of Product or Service

Unsatisfactory Non-conformances are jeopardizing the achievement of contract requirements, despite use of Client 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 Client resources to ensure achievement of contract requirements.

Fair Overall compliance requires minor Client 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

Client.

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".

Cost Control

Unsatisfactory Ability to manage cost issues is jeopardizing performance of contract requirements, despite use of Client 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 Client resources to ensure achievement of contract requirements.

Fair Ability to control cost issues requires minor Client 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 Client.

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".

Timeliness of Performance

Unsatisfactory Delays are jeopardizing the achievement of contract requirements, despite use of

Client 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 Client resources to ensure achievement of contract requirements.

Fair Delays require minor Client resources to ensure achievement of contract

Good There are no, or minimal, delays that impact achievement of contract

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 rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

Business Relations

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

Fair Response to inquiries and/or technical, service, administrative issues is somewhat effective.

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

Excellent Response to inquiries and/or technical, service, administrative issues exceeds

Client expectation.

Outstanding The contractor has demonstrated an outstanding performance level that justifies rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

IV. Additional Questions

1. Have there been any issues during the performance period? If any, how did the Contractor handle the situation to resolve the issues?

2. Is there anything to be noted about this Contractor or its performance?

3. What is your overall customer satisfaction with this Contractor? (Please check)

( ) Unsatisfactory ( ) Poor ( ) Fair ( ) Good ( ) Excellent ( ) Outstanding

4. Would you use this Contractor again for future requirements?

V. Respondent Information

The following information will assist with the analysis of the data. This information will be kept

CONFIDENTIAL.

Name (please print):

Signature:

Agency/company:

Address:

Work phone number (including area code):

FAX number (including area code):

Your role relative to the project/contract:

(Administrative Contracting Officer, Inspector, Contract Administrator, Buyer, Quality

Assurance Evaluator, Other - explain)

Length of involvement in project/contract:

Date the questionnaire was completed:

Do you know anyone else who can provide information regarding this Offeror’s performance?

Name: ___________________________________

Phone/Fax:___________________________________

Name: ___________________________________

Phone/Fax:___________________________________

Name: ___________________________________

Phone/Fax:___________________________________

THANK YOU FOR YOUR ASSISTANCE IN COMPLETING THIS QUESTIONNAIRE.