PAST PERFORMANCE QUESTIONNAIRE.pdf

PAST PERFORMANCE SURVEY

697DCK-22-R-00560: Pontiac ATCT FLS Upgrades

Return the required number of signed and dated Past Performance Surveys with your response.

POC: Darren Odegard Solicitation: 697DCK-22-R-00560

1. Contractor Name:

2. Contract Number:

3. Contractor Address:

4. Contract Type:

___ Firm Fixed Price ___ Cost Reimbursement ___ Other (Please Specify)

5. Your Agency Name:

6. Your Agency POC/email:

7. Completion Date:

8. Dollar Amount of Award:

Total Value with Mods:

9. Title of Contract:

10. Description of Contract Service:

11. Type of Work:

Construction __ Service Support__ Service__ Supply__ Other______

NOTE: 1-Unsatisfactory 2- Marginal 3-Satisfactory 4-Good 5-Outstanding

If Not Applicable, just write in N/A

***Please provide additional comments below for ratings of 4 and below.

1. Did the contractor commit adequate resources in timely fashion to the contract to meet the requirements and to successfully solve problems?

1 2 3 4 5

2. To what extent did the contractor respond positively and promptly to technical direction, contract change orders, etc.?

1 2 3 4 5

3. How reliably did the contractor follow through on commitments?

1 2 3 4 5

4. To what extent did the contractor’s management system provide visibility into problems and risks?

1 2 3 4 5

5. How responsive do you think the contractor was to information requests, issues, or problems during the course of the contract?

1 2 3 4 5

6. How effective has the contractor been in identifying user requirements?

1 2 3 4 5

7. To what extent did the contractor have the ability to administer and manage the contract?

1 2 3 4 5

8. To what extent did the contractor issue professional correspondence?

1 2 3 4 5

9. How well did the contractor adhere to the Statement of Work?

1 2 3 4 5

10. What was your level of satisfaction with the contractor’s management and support staff?

1 2 3 4 5

11. What was your level of satisfaction with the contractor’s Supervisor(s)?

12. To what extent did the contractor submit required reports and documentation in a timely manner?

1 2 3 4 5

13. To what extent were the contractor’s reports and documentation accurate and complete?

14. To what extent was the contractor’s maintenance and problem tracking/reporting documentation timely, accurate and of appropriate content?

1 2 3 4 5

15. To what extent did the contractor comply with safety requirements?

1 2 3 4 5

16. What was your level of satisfaction with the contractor’s overall quality of service?

1 2 3 4 5

17. To what extent was the contractor effective in interfacing with the Government staff?

1 2 3 4 5

18. What was your level of overall customer satisfaction?

1 2 3 4 5

19. To what extent were the contractor’s employees experienced and qualified?

1 2 3 4 5

Respond: Yes or No.

20. Were there any cure notices issued? Yes: ____ No: ____

21. Was contractor pro-active? Yes: ____ No: ____

22. Did contractor suggest cost-saving changes? Yes: ____ No: ___

23. Would you recommend this contractor? Yes: ____ No: ____

If No, please provide reason in Comments.

For Federal contracts:

24. Were there any Labor Department Investigations? Yes:____ No: ____

24a. If yes, please describe reason and final outcome.

25. Were there any safety investigations? Yes: ___ No: ____

25a. If yes, please describe reason and final outcome.

26. Were there any security investigations? Yes: ____ No: ____

26a. If yes, please describe reason and final outcome.

27. Was there a partial or complete termination for default or convenience?

Yes: ____ No: ____

27a. If yes, please describe reason and final outcome.

28. Are there any pending terminations? Yes: ____ No: ____

29. What is/was the duration of the contract? ___________

30. Were there any performance issues regarding the contractor’s work? If yes, please describe.

Comments: (Comments required for any rating of 4 or less)

Signature: ______________________

Date: ____________________________