Past Performance Questionnaire.pdf

PAST AND PRESENT PERFORMANCE INFORMATION/QUESTIONNAIRE

Purpose: The Pretrial Services Agency for the District of Columbia (PSA) has issued a solicitation for the services identified in SECTION I below. As part of our evaluation process, PSA takes into consideration an

Offeror’s present and past performance history providing similar services. The purpose of this questionnaire is to obtain relevant performance history to assist in this evaluation effort.

SECTION I: AGENCY INFORMATION

This Section is to be completed by the PSA Contracting Office.

Solicitation Number: Contract Specialist/Contracting Officer:

Solicitation Title: Email Address:

SECTION II: OFFEROR INFORMATION

This Section is to be completed by the Offeror who intends to submit a proposal in response to the above solicitation. Once Sections I and II have been completed, the Offeror should forward this questionnaire to their reference point of contact, requesting the reference complete the questionnaire and forward it directly, via email, to the Contract Specialist/Contracting Officer identified in Section I above. The Contract Specialist/Contracting Officer will provide receipt acknowledgement to both the Offeror and Respondent.

A. Offeror Information

Name and Address: Telephone Number:

Point of Contact: Email Address:

B. Past/Present Contract Data

Contract Number: Delivery/Task Order Number:

Point of Contact Name: Title:

Phone Number: Email:

Contract Type: Contract Period of Performance (base + all option periods:

Contract Dollar Value (Base Year): Contract Dollar Value: (base and all option periods):

Offeror Performed as the: Other (if applicable):

Brief description of services provided:

To

SECTION III: RESPONDENT INFORMATION

This Section is to be completed by the respondent (Reference Point of Contact). Once completed, please forward the questionnaire directly to the Contract Specialist/Contracting Officer identified in SECTION I above. The information you provide will assist the procuring agency in its evaluation effort and is greatly appreciated.

A. Reference/Respondent Information

Name of Respondent: Contract Number:

Title: Total Contract Value:

Organizational Name: Period of Performance:

Telephone Number: Email Address:

Please identify any information known to be inaccurate as provided by the Offeror in Section II above.

B. Performance Information Adjectival Rating Table (Rating Key)

Using the adjectival rating table below, choose the appropriated adjective that most accurately describes the contractor’s performance or situation to the questions provided.

Adjectival Rating Definition

Exceptional Performance meets contractual requirements with many exceeded to your firms benefit The contractual performance of the element or sub-element being assess was accomplished with no more than a few minor problems for which corrective action taken by the contractor were highly effective.

Good Performance meets contractual requirements with some exceeded to your firms benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Neutral Performance was not observed or not applicable to the current effort being reported against.

To

C. Questionnaire

No. The Contractor: Rating

1 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2 Provided adequate project supervision.

3 Demonstrated ability to hire, retain, and replace, if necessary, qualified personnel during the contract period.

4 Followed approved quality control plan.

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

6 Provided timely resolution of contract discrepancies.

7 Identified problems as they occurred.

8 Suggested alternative approaches to problems.

9 Displayed initiative to solve problems.

10 Developed realistic progress schedules.

11 Met established project schedules.

12 Submitted required deliverables in a timely manner.

13 Cooperated with Government personnel after award.

14 Submitted timely and accurate invoices.

15 How would you rate the contractor’s overall performance?

16 Was the contractor ever issued a CURE or SHOW CAUSE notice under the referenced contract? If yes, please explain outcome in the remarks section below.

17 Would you award another contract to this contractor? If not, please explain in the remarks section below.

18 Is the contractor rated in the Contractor Performance Assessment Reporting System (CPARS), or commercial equivalent? If respondent is a commercial entity and a performance assessment was conducted, would you be willing to provide a copy to the Contracting Officer?

Additional Information or Remarks:

Your time and effort in completing this questionnaire will greatly assist our office in evaluating the

Offeror’s past and present performance history. This questionnaire is very general in nature and may not address all the information needed for the specific requirement. As such, the Contract

Specialist/Contracting Officer or a member of our Technical Evaluation Panel may contact you for clarification of your responses above or for additional performance information relating more directly to our current requirement. Please do not forget to forward the completed questionnaire, along with any additional information you wish to share, directly to the individual identified in Section I above. Thank you once again for your assistance.