Past Perf Questionnaire - 12444825Q0004.pdf

Solicitation No: 12444825Q0004 NRS Parsons, WV Janitorial

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: _____________________ Telephone Number: ______________________

Address: ________________________________________

Project Title or Brief Description of Work: _____________________________________________

Contract Number Provided by Offeror: __________________Dollar Amount: $ _____________________

Contract Period or Dates of Performance Provided by Offeror: ___________________________

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: ___________________Title: _________________________________________

Telephone Number: _______________________________

Email Address: _______________________________

NOTE: Please return no later than COB 21 FEB 2025 @ 1700 ET via email to Gayle Geiger at gayle.geiger@usda.gov mailto:gayle.geiger@usda.gov

Solicitation No: 12444825Q0004 NRS Parsons, WV Janitorial

C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. Alternatively, select N/A where appropriate.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

1 2 3 4 5 N/A

2. Home office participated in solving significant local problems. 1 2 3 4 5 N/A

3. Provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 N/A

4. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

1 2 3 4 5 N/A

5. Identified problems as they occurred. 1 2 3 4 5 N/A

6. Suggested alternative approaches to problems. 1 2 3 4 5 N/A

7. Displayed initiative to solve problems. 1 2 3 4 5 N/A

8. Cooperated with Government personnel after award. 1 2 3 4 5 N/A

9. How would you rate the contractor's overall performance? 1 2 3 4 5 N/A

10. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain outcome in “remarks.”

YES/NO

11. Is the contractor rated in CPARS? YES/NO

12. Would you award another contract to this contractor? If not, explain in “remarks.” YES/NO

CONTRACTOR’S NAME: CONTRACT NUMBER

Remarks: ________________________________________________________________________________

NOTE: Please return no later than _______________ via email to (NAME) at (E-mail).

1 2 3 4 5 N/A UNSATISFACTORY MARGINAL SATISFACTORY VERY GOOD EXCEPTIONAL NEUTRAL or N/A

Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements.

There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance met contractual requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

No record of past performance, the record is inconclusive, or rated area is not applicable.