Past performance Questionnaire.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for an award at the National

Institute of Standards and Technology (NIST).

Your prompt attention to this questionnaire will be greatly appreciated. Section A of the form shall be filled out by the Offeror prior to sending the document to you. Please ensure that you complete the remaining sections. Past

Performance Questionnaires shall be submitted via email, by the Respondent, on or before 8:00 a.m. Eastern Time on May 22, 2020, to Sadaf Afkhami, at Sadaf.Afkhami@nist.gov, with a carbon copy to Donald Graham, at

Donald.Graham@nist.gov. Past Performance Questionnaires submitted directly by the Offeror shall not be accepted.

A. GENERAL INFORMATION: This section must be filled out by the Offeror prior to sending to the

Respondent.

Contractor’s Name: ____________________ Address: __________________________

Telephone Number: ____________________ _________________________

Point of Contact: ___________________________

Project Title and Brief Description of Work: -

Contract Number: ____________________ Dollar Amount: $____________

Contract Period or Dates of Performance Provided by Offeror: __________________________

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION: This section must be filled out by the Respondent prior to emailing responses to the individuals noted below in Section C.

Name of Respondent: ___________________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________

_____________________________ Fax Number: _____________________

_____________________________ Email Address: _____________________

C. EMAIL COMPLETED SURVEY FORM TO THE GOVERNMENT AT: Respondent shall email completed form to SADAF.AFKHAMI@NIST.GOV with a carbon copy sent to DONALD.GRAHAM@NIST.GOV on or before 8:00 a.m. Eastern Time on May 22, 2020. Forms submitted by offerors shall not be accepted.

D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR

ANY RATINGS OF 1 OR 2.

1 2 3 4 5 6

UNSATISFACTORY MARGINAL SATISFACTORY VERY GOOD EXCEPTIONAL NEUTRAL

Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance met contractual requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the customer’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the customer’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

No record of past performance or the record is inconclusive.

mailto:Sadaf.Afkhami@nist.gov mailto:Donald.Graham@nist.gov mailto:SADAF.AFKHAMI@NIST.GOV mailto:DONALD.GRAHAM@NIST.GOV

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

CONTRACTOR’S NAME: ________________________ CONTRACT NUMBER_______________

1. Quality control of goods/services

Provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 6

Corrected deficiencies in timely manner and pursuant to their quality control procedures.

1 2 3 4 5 6

2. Quality of communications between acting parties

Was responsive to communications between the customer. 1 2 3 4 5 6

Cooperated with customer personnel after award. 1 2 3 4 5 6

3. Timeliness of delivery of goods/services

Developed realistic progress schedules. 1 2 3 4 5 6

Met established project schedules. 1 2 3 4 5 6

4. Proactive management in resolving issues

Displayed initiative and identified problems as the occurred. 1 2 3 4 5 6

Suggested alternative approaches and provided timely resolutions. 1 2 3 4 5 6

Remarks:_____________________________________________________________________________________