Attachment_C_-_Past_Performance_Survey.doc

PAST PERFORMANCE SURVEY QUESTIONNAIRE

The vendor / contractor who provided you 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). Please provide an honest assessment and immediately return to the e-mail or physical address provided below. If you have any questions, please contact Kelvin Smalls at the e-mail address or telephone number provided below. The NPS will use the information from this survey questionnaire to evaluate offerors competing for contract award. Please evaluate the contractor’s performance in each of the ratings areas described below. For each ratings area, please provide an answer or select the rating that most closely describes your evaluation of the contractor’s performance, by placing a check mark in the box next to or under it. Please provide 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 e-mail the completed questionnaire to:

Kelvin J. Smalls, Contracting Specialist, SF-MABO, IMR

Email: kelvin_smalls@nps.gov

Telephone: (505) 988-6083

Survey Questionnaire Completed By:

Company / Agency / Organization

Name / Title of Reference

Telephone Number

E-mail Address

Signature

Contract / Project Information

(To Be Completed by Offeror Requesting Completion of Survey Questionnaire)

Contractor / Company Name

Project Title

Contract Number

Complexity of Work

Location of Work

Date of Award

1. QUALITY OF WORK / SERVICE

Evaluate vendor performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Vendor provided a product or service that complies with the contract requirements, specifications, and standards of quality. Vendor submitted accurate deliverables / reports. Vendor established & maintained a quality program ensuring the ongoing quality of all significant products and processes.

Vendor utilized personnel that were appropriate to the effort performed.

Very Good

Good

Satisfactory

Marginal

Unsatisfactory

Remarks / Comments:

2. TIMELINESS OF PERFORMANCE

To what extent were contract performance requirements met? Were the tasks required under this effort performed in a timely manner and in accordance with schedule performance standards; deliverables schedule; contract period of performance?

Completed Substantially Ahead of Schedule

Completed on Schedule with no Significant Time Delays

Completed on Schedule with Minor Delays Under Extenuating Circumstances

Routinely failed to Schedule Perform Requirements

Remarks / Comments:

3. DOCUMENTATION QUALITY

To what extent were reports, submittals and other required documentation accurate, complete, comprehensive, and provided in a timely manner?

Excellent Quality

Above Average Quality

Average Quality

Below Average Quality

Unsuccessful / Extensive Quality Problems

Remarks / Comments:

4. COORDINATION

How well were sub-contractors, consultants, suppliers, and / or the labor force managed and coordinated? Or, if firm was a sub-contractor, how well did they respond to coordination efforts and work with other subs? Were there any problems and, if so, how were they handled and resolved?

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks / Comments:

5. GENERAL MANAGEMENT PRACTICES

How appropriate and effective were the firm’s general management and business practices? Consider such things as; did they provide quality, experienced managers and supervisors, technical and administrative personnel for the duration of the project; were appropriate personnel promptly available when needed, and responded in a prompt and acceptable manner to resolve problems, did they provide comprehensive, accurate price proposals, etc.

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks / Comments:

6. OVERALL SAFETY PROGRAM

How well did the contractor manage the contract / project as it relates to general safety? Discuss any safety issues that arose during the course of the project.

Excellent

Above Average

Average

Below Average

Unsuccessful

Not Applicable

Remarks / Comments:

7. BUDGET MANAGEMENT

How well did the contractor conform to the project budget? Did the contractor initiate unwarranted, unverifiable, change orders or change order requests, etc.?

Excellent

Above Average

Below Average

Unsuccessful

Remarks / Comments:

8. CLAIMS / LITIGATION

Was the contractor involved in any claims or litigation involving the contract / project?

Yes (If “Yes”, please explain in remarks area below)

No

Remarks / Comments:

9. OVERALL CUSTOMER SATISFACTION

To what extent were the end users satisfied with: Quality? Cost? Schedule?

Exceptionally Satisfied

Highly Satisfied

Satisfied

Somewhat Dissatisfied (please explain)

Dissatisfied (please explain)

Remarks / Comments:

10. YOUR RECCOMENDATION

If given the opportunity and the choice, would you work with this contractor again?

Yes

No

Not Sure

Remarks / Comments:

11. OTHER REMARKS / COMMENTS

Use the space below to provide other information related to the contractor's performance. This may include selection of sub-contractors / consultants, flexibility in dealing with contract challenges, payment issues, their overall concern for the client's interest (if applicable), project awards received, etc.