Past_Performance_Questionnaire.docx
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- CHOH ONPS FY25-30 TOILET PUMPING
- Solicitation number
- 140P2125Q0074
About this file
The Past Performance Questionnaire is a standardized evaluation document used to assess a consultant's performance across multiple performance characteristics. The form provides a detailed rating scale from 1 (Unacceptable) to 5 (Outstanding) to evaluate technical performance, management approach, and workforce quality. Evaluators can rate characteristics such as technical requirements implementation, project schedule adherence, problem resolution effectiveness, personnel management, subcontractor oversight, and compliance with organizational objectives.
The questionnaire is designed to be source selection sensitive and will be used exclusively for proposal evaluation purposes. It captures comprehensive contract identification information including project type, performance period, initial and final project costs, and detailed evaluator contact information. The form allows for nuanced performance assessment through both numerical ratings and optional additional commentary, enabling a thorough review of a consultant's past performance across multiple dimensions of project execution.
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When completed, this document is source selection sensitive and the Service will use it only for evaluation of this proposal and not share it outside of the evaluation team.
PAST PERFORMANCE QUESTIONNAIRE
SECTION 1: CONTRACT IDENTIFICATION INFORMATION
Consultant Name (Enter the name of the company being evaluated in this questionnaire)
Project Type (Define if the project was standalone or part of an overall contract.)
Period of Project Performance
Initial Project Cost
Final Project Cost
Reason(s) for Differences Between Initial Project Cost and Final Project Cost Shown Above:
Scope of Work Performed or Description of Services Provided
Evaluator Information (Information pertaining to individual completing this questionnaire.)
Name
Title
Phone
Fax
Number of Months Worked on Contract
SECTION 2: QUALITY OF CONSULTANT PERFORMANCE
Use the following rating scale to indicate your satisfaction with the consultant’s performance in the specified areas by placing an “X” in the appropriate block.
RATING CODE PERFORMANCE CHARACTERISTICS
| 5 |
| OUTSTANDING, |
| Performance meets project objectives and exceeds many objectives. The consultant completed the project with a few minor problems for which corrective actions taken by the consultant were highly effective. |
| 4 |
| Good |
| Performance meets project objectives and exceeds some objectives. The consultant completed the project with some minor problems for which corrective actions taken by the consultant were effective. |
| 3 |
| Acceptable |
| Performance meets project objectives. The consultant’s completion of the project contained some minor problems for which corrective actions taken by the consultant appear, or were satisfactory. |
| 2 |
| Marginal |
| Some system performance requirements are met; some system operational requirements are met; substantial customer intervention required |
| 1 |
| Unacceptable |
| Performance fails to meet one or more project objectives and recovery is not likely in a timely manner. The performance of the consultant on the project contained serious problems for which the consultant’s corrective actions appear, or were, ineffective. |
| N |
| Neutral |
| Not Observed Under This Project / Unable to Provide a Rating |
Technical Performance
| O |
| G |
| A |
| M |
| U |
| N |
Ability to accomplish project technical requirements and implement high quality standards
Ability to meet project schedule
Management Approach
| O |
| S |
| M |
| P |
| U |
| N |
Effectiveness of overall project/program management (including ability to lead/manage/control the project effort)
Reasonable and cooperative in dealing with your personnel
Timeliness/effectiveness of project problem resolution
Understood/complied with your objectives and technical requirements
Ability to hire and provide a highly qualified workforce
Ability to retain quality personnel
Managed subcontractors effectively
Effectively performed quality control/quality check on subcontractor deliverables
You may provide more information on additional pages, not to exceed 2 pages.
File details come from the government source that posted it. Updated .