Past_Performance_Questionnaire Attachment 5.docx

NIH RFQ 75N98020Q00031

Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

Contract Information

Name of Contractor Contract Number:

Contract Type:

Period of Performance:

Contract Value:

Brief Description of Requirement:

To be completed by person providing review:

Name:

Phone/Email Agency/Organization:

Position/Title:

Relationship to Contract (Contracting Officer, Project Officer, Etc.)

SCORING CRITERIA

3-Exceptional- Performance met or exceeded all requirements with no or few minor problems, for which corrective actions taken by the contractor were highly effective.

2-Acceptable- Performance met all requirements with major and minor problems, for which corrective actions taken by the contractor were effective.

1-Unacceptable- Performance failed to meet all or most requirements with serious or persistent problems, for which corrective actions were either not taken or were ineffective and recovery was unsuccessful in a timely manner.

Survey Questions

1. Contractor’s compliance with the contract requirements?

Rating: 3 2 1 N/A Comments:

2. Contractor's adherence to contract schedules, timelines, and deadlines?

Rating: 3 2 1 N/A Comments:

3. Contractor’s commitment to customer satisfaction?

Rating 3 2 1 N/A Comments:

4. Contractor’s ability to recruit and retain qualified and reliable personnel?

Rating 3 2 1 N/A Comments:

5. Contractor’s Onsite Manager’s effectiveness?

Rating 3 2 1 N/A Comments:

6. Was contractor ever issued a cure notice /show cause letter, or terminated for any reason?

YES NO If yes, explain:

Comments:

7. Contractor’s ability to consistently deliver invoices and reports timely and accurately?

Rating 3 2 1 N/A Comments:

8. Were discrepancies ever discovered between negotiated costs and actual costs submitted?

YES NO If yes, explain:

Comments:

9. Contractor’s ability to communicate and respond to constructive feedback from PM/COR?

Rating 3 2 1 N/A Comments:

10. Contractor's OVERALL performance? Would you award another contract to this contractor?

Rating 3 2 1 N/A YES NO Comments:

Thank you for completing this survey! Please email your completed questionnaire to: stevenst@od.nih.gov by 2 pm. On October 30, 2020.