Past Performance Questionnaire.pdf

*This section to be complete by the individual/company providing the reference

PAST PERFORMANCE QUESTIONNAIRE

Contract Information:

Contractor:

Contract Number:

Type of Contract: Negotiated Sealed Bid Fixed price

Cost Reimbursement Other (specify)

Period of Performance: From To

Initial Contract Value: $ Final Contract Value: $

Prime Contractor: Yes_ No

Brief description of requirement:

The Performance measures are as follows:

• Technical Effectiveness/Timeliness of Performance

• Management Effectiveness

The adjectival rating categories are provided below for your guidance.

EXCELLENT: Contractor demonstrates initiative to enhance/exceed contractual requirements/objectives and overall Contractor-Government relationship is exceptional.

VERY GOOD: There are no quality-of-service problems and/or nonconformances do not impact achievement of contract goals.

SATISFACTORY: Nonconformances are minor and have little impact on achievement of contract goals; minor Government intervention is needed to resolve issues

MARGINAL: Nonconformances are impacting achievement of contract goals;

substantial Government intervention is needed to resolve issues.

UNSATISFACTORY: Nonconformances are compromising the achievement of contract goals, despite substantive intervention by Government personnel.

If a marginal or unsatisfactory rating is given, please discuss on Page 3 of the Past Performance

Questionnaire. If a question is not applicable, so indicate.

*This section to be completed by the Offeror to the Government

PAST PERFORMANCE QUESTIONNAIRE (Page 2)

MANAGEMENT EFFECTIVENESS

This area of the questionnaire deals with contract compliance, requirements, to include appropriateness of personnel and technical excellence and the Contractor’s ability to meet milestones and delivery schedules.

LEGEND:

E = Excellent VG = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not applicable

FACTORS/RATINGS

E

VG

S

M

U

N/A

Adherence to and completion of major tasks, milestones, and deliverables on schedule. Adherence to project start and completion dates.

Flexibility and responsiveness to technical direction (including changes in technical direction).

Ability to identify risk factors and take measures to alleviate risk.

Effective resolution of contractor-caused delays and/or problems.

Ability to identify and solve problems expeditiously, and avoid revisions and/or rework.

Technical excellence, consistency and reliability.

Appropriateness of personnel.

This area deals with the Contractor’s overall communications with the government, effectiveness and reliability of key personnel, ability to recruit and maintain qualified personnel, ability to manage multiple and diverse projects from planning through execution, accurate estimate and control cost, overall performance in planning, scheduling and monitoring, management initiatives and prompt notification of problems.

FACTORS/RATINGS

E

VG

S

M

U

N/A

Overall compliance with contract terms and conditions.

Overall communication with the Government (fact-based).

Effectiveness and reliability of Contractor’s key personnel.

Ability to recruit and maintain qualified personnel.

Ability to manage multiple and diverse projects/tasks from planning through execution.

Ability to accurately estimate and control cost to complete tasks.

Overall performance in planning, scheduling, and monitoring.

Promptly notifies Government of problems.

Ability to resolve performance problems

TECHNICAL EFFECTIVENESS/TIMELINESS OF PERFORMANCE

PAST PERFORMANCE QUESTIONNAIRE (Page 3)

Information Provided By:

1. Name:

2. Position Title/Grade:

3. Organization:

Mailing Address:

4. Telephone/Fax Numbers:

5. Length of Involvement in Contract:

6. Questionnaire Completion Date:

7. Remarks on outstanding performance: (Continue on separate sheet if necessary)

8. Remarks on unsatisfactory performance: (Continue on separate sheet if necessary)

Note: If verbal telephonic response received, complete the following:

Information obtained by:

Printed Name

Signature