LYJO_Past_Performance_Survey.docx

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Porcelain enamel panels for Lyndon B. Johnson NHP
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P15PS01682
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Past Performance Survey

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PAST PERFORMANCE SURVEY / QUESTIONNAIRE

The Company who has provided you with this survey questionnaire is proposing on a contract for the National Park Service. Past Performance is a very important evaluation factor for this acquisition, so input from previous customers of the offeror is very important. We would greatly appreciate you taking the time to complete this survey. The information is to be provided directly to the National Park Service, Intermountain Region, Santa Fe Major Acquisition Buying Office (Santa Fe MABO).

THE INFORMATION YOU PROVIDE WILL NOT BE DISCLOSED TO THE OFFEROR. Please provide an honest assessment and immediately return to the e-mail or physical address provided below. If you have any questions, please contact Debbie Kahawai at 505-988-6824.

The NPS will use the information from this survey questionnaire to evaluate offerors competing for contract awards. Based on the Rating Area Elements and the Rating Guidelines provided at the end of this questionnaire, please evaluate the contractor’s performance in each of the rating areas. Please circle (or type in the “Comments:” area) the rating from 0 to 4 that most closely describes your evaluation of the contractor’s performance. Please add written comments as needed to clarify / support each rating. If you wish, you may attach additional comments or information. Please complete and return this form as quickly as possible to the address provided below. Thank you in advance for your time, assistance and cooperation.

Please return this form to the following address, no later than the date requested by the offeror.:

National Park Service, IMSF – ACG Attn: Debbie Kahawai 1100 Old Santa Fe Trail Santa Fe, NM, 87505-0306 Or e-mail to debbie_kahawai@nps.gov

Survey Completed By:

Agency/Organization ________________________________________________________________ Name and Title _____________________________________________________________________ Telephone number ________________________________ E-mail address ______________________________________________________________________

SOURCE SELECTION INFORMATION (SEE FAR 3.104)

Information entered on this form will be used in source selection decisions and is protected under Subsection 3.104 of the Federal Acquisition Regulation. Information entered on this form may not be disclosed to the contractor or to any other person(s) except as authorized by the contracting officer.

Past Performance Survey / Questionnaire

Contractor Name & Address:

Contract Number:

Type of Contract:

Contract Value (Current plus Any unexercised options):

Period of Performance:

Description of Requirement (attach additional pages if required):

(1) Quality of Services / Products Comments:

(2) Problem Resolution

Comments:

(3) Cost Control

Comments:

(4) Timeliness

Comments:

(5) Knowledge, skill, and ability using primary source material

Comments:

(6) Knowledge of furnishings and historic house museums

Comments:

I hereby certify that the information provided here is accurate and complete to the best of my knowledge.

Signature ______________________________________________ Date _______________________ Rating Area Elements

1. Quality of Services or Products

a. Compliance with contract requirements

b. Accuracy of reports

c. Appropriateness of personnel

d. Technical excellence

e. Report professionally edited

2. Problem Resolution

a. Anticipates and avoids or mitigates problems

b. Satisfactorily overcomes or resolves problems

c. Prompt notification of problems

d. Pro-active

e. Effective Contractor-recommended solutions

3. Cost Control

a. Within budget

b. Current, accurate and complete billings ?

c. Costs properly allocated

d. Unallowable costs not billed

e. Relationship of negotiated costs to actual

f. Cost efficiencies

4. Timeliness of Performance

a. Meets interim milestones

b. Reliable

c. Stays on schedule despite problems

d. Responsive to technical direction

e. Completes work on time, including wrap-up and contract administration

f. No liquidated damages assessed

5. Knowledge, skill, and ability using primary source material

a. Previous research conducted using primary source material

b. Knowledge of how to access and interpret primary source material

c. Independent research skills

6. Knowledge of historic furnishings and historic house museums

a. Familiar with historic furnishings in historic house context

b. Aware of issues related to historic houses

c. Sensitive to fabric of historic structure

Rating Guidelines

1 - Quality of Services / Products

0 - Unsatisfactory
Nonconformance jeopardizes the achievement of contract goals; default.
1 - Poor
Non-conformance requires major agency intervention to ensure achievement of contract goals; show cause or cure notices.
2 - Fair
Quality meets specifications in most cases, however, some agency intervention required to ensure achievement of contract requirements.
3 - Good
Quality meets specifications in all cases and has been edited.
4 - Excellent
Quality exceeds specifications in some cases and has been thoroughly edited

2 - Problem Resolution

0 - Unsatisfactory
Inadequately resolved problems jeopardize contract goals.
1 - Poor
Significant agency intervention required to resolve problems jeopardizing contract goals.
2 - Fair
Some agency intervention required to resolve problems jeopardizing contract goals.
3 - Good
Successfully overcomes or resolves all problems and achieves contract goals with minimal agency intervention.
4 - Excellent
Anticipates and avoids most problems and successfully overcomes all unforeseen problems.

3 - Cost Control

0 - Unsatisfactory
Cost increases jeopardize achievement of contract goals; or billings routinely include unallowable costs.
1 - Poor
Significant cost increases; or some inaccurate billings including some with unallowable costs.
2 - Fair
Minor cost increases; or some inaccurate billings, but a minimal (1-2) number with unallowable costs.
3 - Good
Contractor performed within costs; but some late billings, none with unallowable costs.
4 - Excellent
Costs were less than the amount cited in the contract; and billings accurate and timely.

4 - Timeliness Of Performance

0 - Unsatisfactory
Delays jeopardize the achievement of contract goals.
1 - Poor
Other significant delays.
2 - Fair
Minor delays.
3 - Good
All deliverables on time.
4 - Excellent
All deliverables on time with some ahead of schedule; or stays on schedule despite unforeseen circumstances.

5 - Knowledge, skill, and ability using production material (porcelain enamel)

0 - Unsatisfactory
No experience using production material (porcelain enamel)
1 - Poor
Some experience using production material (porcelain enamel)
2 - Fair
Some experience using production material (porcelain enamel)
3 - Good
Experienced in using production material (porcelain enamel)
4 - Excellent
Highly effective at using production material (porcelain enamel)

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