Past_Performance_Questionnaire_1305M326Q0370.docx
DOCX document 2 MB Posted
- Attached to
- Janitorial Services for the Ketchikan Office
- Solicitation number
- 1305M326Q0370
About this file
This is a Past Performance Questionnaire template for evaluating contractor performance on federal contracts. The questionnaire is specifically designed for solicitation 1305M326Q0370, which concerns Janitorial Services for the National Oceanic and Atmospheric Administration (NOAA) Office of Law Enforcement in Ketchikan, Alaska, under the Department of Commerce.
The questionnaire is divided into four sections: Section I captures solicitation data including the project name and agency; Section II requires the offeror to provide historical contract information and allows the assessor to verify accuracy; Section III collects assessor information including their role in contract administration (such as Contracting Officer, Administrative Contracting Officer, COR, or Quality Assurance Specialist) and period of involvement; and Section IV requests an overall performance rating using five defined categories—Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable—with evaluation criteria based on contractual requirement fulfillment, quality and timeliness of service delivery, cost management, inter-party communications, proactive management, and customer satisfaction. Offerors must complete and submit questionnaires by the solicitation closing date to the contracting point of contact at jenna.taulman@noaa.gov.
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Text version
1305M326Q0370 Janitorial Services Ketchikan, AK Past Performance Questionnaire
Instructions:
Message to Offereror: Offeror will fill out Section II and provide to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). 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.
Message to the Assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. Please verify Section II, and also fill out Section III and IV. After completion of the questionnaire, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to the following Contracting POCs by the closing date of the Solicitation: jenna.taulman@noaa.gov .
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 1305M326Q0370 |
| Project/Requirement |
| Janitorial Services Ketchikan, AK |
| Customer/Agency |
| DOC/NOAA |
| Project/Requirement Description |
| Janitorial Services Ketchikan, AK |
II. Current or Historical Contract Information
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 |
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
Additional comments/notes (N/A if not applicable):
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 requirements. 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 | |
| 1 of 2 |
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