Past_Performance_Questionnaire_1305M326Q0099.docx

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Attached to
Jones Beach Fisheries Field Site Pad and Roof
Solicitation number
1305M326Q0099
Issued by

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This is a Past Performance Questionnaire template used by the National Oceanic and Atmospheric Administration (NOAA) under the Department of Commerce to evaluate contractor performance on relevant prior contracts. The questionnaire is specific to solicitation 1305M326Q0099 for the Jones Beach Fisheries Field Site Pad and Roof project.

The template is designed for completion in multiple stages: offerors and major subcontractors complete Sections I and II, which are then provided to government assessors who had direct experience with the contractor on previous relevant work. Assessors verify the submitted information, complete Sections III and IV in their entirety, and submit the completed questionnaire to the Contracting Office at jenna.taulman@noaa.gov. Offerors must submit copies of Sections I and II with their proposals by the solicitation closing date. Section IV requires assessors to provide an overall performance rating based on contract compliance, quality and timeliness of delivery, cost management, communications, proactive management, and customer satisfaction. Rating options range from Exceptional to Unsatisfactory, with detailed criteria provided for each level. The questionnaire also captures assessor contact information, role in contract administration, and period of involvement, ensuring that performance evaluations are based on direct contractual experience.

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1305M326Q0099 Past Performance Questionnaire Template

Instructions:

· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

· Sections III through IV to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: jenna.taulman@noaa.gov.

I. Solicitation Data (for the proposed effort)

Solicitation Number
1305M326Q0099
Project/Requirement
Jones Beach Fisheries Field Site Pad and Roof
Customer/Agency
DOC/ NOAA/ AGO WAD SAP-S
Project/Requirement Description
Jones Beach Fisheries Field Site Pad and Roof

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.

CONTRACTOR NAME & ADDRESS:

Contract No

Type of Contract

Initial
Final

Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role
☐ PRIME
☐ SUBCONTRACTOR
Termination History
☐ Convenience
☐ Default
☐ N/A

III. Assessor Information

Assessor Name

Title

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

✔
Role
Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Overall Performance Rating

Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.

EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE (N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Additional comments/notes:

Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only

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