Past_Performance_Questionnaire_1305M326Q0489.docx
DOCX document 2 MB Posted
- Attached to
- Santa Cruz Lab Hazardous Waste Removal Services
- Solicitation number
- 1305M326Q0489
About this file
This is a Past Performance Questionnaire template for the Santa Cruz, CA Hazardous Waste Removal Services contract (Solicitation Number 1305M326Q0489) issued by the Department of Commerce National Oceanic and Atmospheric Administration (NOAA). The questionnaire is designed to collect performance history and evaluation data on contractors and major subcontractors who have previously performed similar work on relevant contracts.
The document contains four sections: Section I collects solicitation data identifying the project as Santa Cruz Lab Hazardous Waste Removal Services; Section II requests the offeror to provide current or historical contract information including contractor name and address, contract number, contract type, contract value, period of performance, and termination history, which is then verified by an assessor; Section III identifies the assessor's role in contract administration (such as Procuring Contracting Officer, Administrative Contracting Officer, Contracting Officer's Representative, or other relevant positions) and their period of involvement; and Section IV requires an overall performance rating using a five-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable) based on contract requirement performance, quality and timeliness of delivery, cost management, communications, and customer satisfaction. Completed questionnaires must be submitted to the contracting point of contact (jenna.taulman@noaa.gov) by the solicitation closing date.
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Text version
1305M326Q0489 Santa Cruz, CA Hazardous Waste Removal 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 |
| 1305M326Q0489 |
| Project/Requirement |
| Santa Cruz, CA Hazardous Waste Removal |
| Customer/Agency |
| DOC/NOAA |
| Project/Requirement Description |
| Santa Cruz, CA Hazardous Waste Removal |
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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