Past Performance Questionnaire 2.pdf

The Performance measures are as follows:

• Technical Effectiveness/Timeliness of Performance

• Management Effectiveness

The adjectival rating categories are provided below for your guidance.

EXCELLENT (PURPLE): Contractor demonstrates initiative to enhance/exceed contractual requirements/objectives and overall Contractor-Government relationship is exceptional.

VERY GOOD (BLUE): There are no quality-of-service problems and/or nonconformances do not impact achievement of contract goals.

SATISFACTORY (GREEN): Nonconformances are minor and have little impact on achievement of contract goals; minor Government intervention is needed to resolve issues

MARGINAL (YELLOW): Nonconformances are impacting achievement of contract goals;

substantial Government intervention is needed to resolve issues.

UNSATISFACTORY (RED): Nonconformances are compromising the achievement of contract goals, despite substantive intervention by Government personnel.

If a marginal or unsatisfactory rating is given, please discuss on Page 3 of the Past Performance Questionnaire. If a question is not applicable, so indicate.

Brief description of requirement: __________________________________________

Prime Contractor: Yes________ No__________

Initial Contract Value: $_____________ Final Contract Value: $___________

Period of Performance: From ______________ To _________________________

Cost Reimbursement _______ Other (specify) _______ Type of Contract: Negotiated ______ Sealed Bid ______ Fixed price _____

Contract Number: ______________________________________________________

Contractor: ___________________________________________________________

Contract Information:

PAST PERFORMANCE QUESTIONNAIRE

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*To be completed by the Offeror

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*To be complete by the individual providing the reference

PAST PERFORMANCE QUESTIONNAIRE (Page 2)

TECHNICAL EFFECTIVENESS/TIMELINESS OF PERFORMANCE

This area of the questionnaire deals with contract compliance, requirements, to include appropriateness of personnel and technical excellence and the Contractor’s ability to meet milestones and delivery schedules.

LEGEND:

E = Excellent VG = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not applicable

FACTORS/RATINGS

E

VG

S

M

U

N/A

Adherence to and completion of major tasks, milestones, and deliverables on schedule. Adherence to project start and completion dates.

Flexibility and responsiveness to technical direction (including changes in technical direction).

Ability to identify risk factors and take measures to alleviate risk.

Effective resolution of contractor-caused delays and/or problems.

Ability to identify and solve problems expeditiously, and avoid revisions and/or rework.

Technical excellence, consistency and reliability.

Appropriateness of personnel.

MANAGEMENT EFFECTIVENESS

This area deals with the Contractor’s overall communications with the government, effectiveness and reliability of key personnel, ability to recruit and maintain qualified personnel, ability to manage multiple and diverse projects from planning through execution, accurate estimate and control cost, overall performance in planning, scheduling and monitoring, management initiatives and prompt notification of problems.

FACTORS/RATINGS

E

VG

S

M

U

N/A

Overall compliance with contract terms and conditions.

Overall communication with the Government (fact-based).

Effectiveness and reliability of Contractor’s key personnel.

Ability to recruit and maintain qualified personnel.

Ability to manage multiple and diverse projects/tasks from planning through execution.

Ability to accurately estimate and control cost to complete tasks.

Overall performance in planning, scheduling, and monitoring.

Promptly notifies Government of problems.

Ability to resolve performance problems

PAST PERFORMANCE QUESTIONNAIRE (Page 3)

Information Provided By:

1. Name: _______________________________________

2. Position Title/Grade: _______________________________________

3. Organization: _______________________________________

Mailing Address:

4. Telephone/Fax Numbers: _______________________________________

5. Length of Involvement in Contract: _______________________________

6. Questionnaire Completion Date: _________________________________

7. Remarks on outstanding performance: (Continue on separate sheet if necessary)

8. Remarks on unsatisfactory performance: (Continue on separate sheet if necessary)

Note: If verbal telephonic response received, complete the following:

Information obtained by:

Printed Name

Signature