Past_Performance_Questionnaire_1305M326Q0399.docx
DOCX document 4 MB Posted
- Solicitation number
- 1305M326Q0399
About this file
This is a Past Performance Questionnaire template designed to collect performance evaluation data from government assessors regarding contractors' or subcontractors' prior performance on relevant contracts. The questionnaire pertains to solicitation 1305M326Q0399 issued by NOAA's Acquisitions and Grants Office for the Woods Hole, MA Facility Backup Generator and Transfer Switch Recommissioning project.
The form is structured in four sections: Section I captures solicitation and project data; Section II requires contractors to provide current or historical contract information (including contract number, type, value, period of performance, and project description) for assessor validation; Section III collects assessor identification and role information; and Section IV requests an overall performance rating using a five-tier scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable) based on criteria including contract requirement fulfillment, quality and timeliness of delivery, cost management, communications, and customer satisfaction. Offerors must complete Sections I and II, submit copies with their proposals by the solicitation closing date, and provide the questionnaire to government assessors who previously worked with them on relevant contracts. Completed questionnaires should be returned to jenna.taulman@noaa.gov. This is a template document requiring completion rather than a document specifying deliverables or requirements.
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Text version
1305M326Q0399 Past Performance Questionnaire
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 |
| 1305M326Q0399 |
| Project/Requirement |
| Woods Hole, MA Facility Backup Generator and Transfer Switch Recommissioning |
| Customer/Agency |
| NOAA Acquisitions and Grants Office |
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
File details come from the government source that posted it. Updated .