Past Performance Questionnaire Fort Worth TX.pdf
PDF 34 KB Posted
- Attached to
- 15BCTS24Q00000027 - SU/MH Fort Worth, Texas Federal contract opportunity
- Solicitation number
- 15BCTS24Q00000027
About this file
This is a Past Performance Questionnaire template used to evaluate contractor performance on federal contracts. The questionnaire includes sections for reference identification, contract identification details (contractor name, contract number, type, period of performance, estimated total value, and geographic distribution of services), and evaluation criteria across multiple performance categories.
The evaluation uses a 1-5 rating scale (5 being best) to assess quality of product/service, timeliness of performance, business relations, and customer satisfaction. Specific areas evaluated include contract compliance, response to technical directions, adherence to schedules, problem-solving capabilities, and effectiveness in working with government staff. The questionnaire also asks about any contract terminations, pending terminations, and whether the evaluator would recommend the contractor for future awards. A narrative summary section is included for additional comments not covered in the structured evaluation sections.
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| Q and A 24Q-027.pdf | ||
| Cover Letter 15BCTS24Q00000027 Fort Worth TX.pdf | ||
| SF1449 15BCTS24Q00000027 Fort Worth TX.pdf | ||
| Technical Proposal Information Packet Fort Worth TX.docx | DOCX document | |
| Past Performance Evaluation Fort Worth TX.pdf | ||
| Sect 2.1 Cont SF 1449–Fort Worth TX.pdf | ||
| CTS Statement Of Work 2022 Fort Worth TX.pdf | ||
| Whistleblower Info Fort Worth TX.pdf | ||
| Business Proposal Information Packet Fort Worth TX.pdf | ||
| Proposal Attachment Form Fort Worth TX.xlsx | XLSX spreadsheet |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
I. Reference Identification
A. Name of Reference/Activity
Include point of contact Phone #/Fax #/Address
II. CONTRACT IDENTIFICATION
A. Contractor
B. Contract Number
C. Contract Type
Competitive [ ]Yes [ ] No
Follow-On [ ] Yes [ ] No
D. Period of Performance
E. Estimated Contract Total (Including all option periods)
F. Description of
Supplies Provided:
G. Geographic Distribution of Services Under This
Contract, (i.e., Local, Nationwide, Worldwide)
H. Number of Locations serviced by this
Contract
III. EVALUATION
Below are listed specific questions relating to the following five categories fo contractor performance: quality, timeliness, cost, control, business relations, and customer satisfaction. Please rate the contractor for each question on a scale from 1 to 5, 5 being the best rating and 1 being the worst rating, or N/A for not applicable. There is a comment section provided below each question. Please document any responses receiving a rating of 2 or 1.
[ ] 5 - Considerably surpassed minimum requirements
[ ] 4 - Exceeded minimum requirements
[ ] 3 - Met minimum requirements
[ ] 2 - Less than minimum requirements
[ ] 1 - Efforts had a negative effect
A. QUALITY OF PRODUCT OR SERVICE
1. To what extent did the contractor comply with the specific contract requirements and commit adequate resources in a timely fashion to the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor respond to technical directions, quality improvement recommendations, contract change orders, etc.?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
B. TIMELINESS OF PERFORMANCE
1. To what extent did the contractor adhere to contract delivery of performance schedules?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor meet the response times in the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
C. BUSINESS RELATIONS
1. To what extent was the contractor able to solve contract performance problems without extensive guidance from Government counterparts (COTR)?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent was the contractor effective in interfacing with
Government/Company staff?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
D. CUSTOMER SATISFACTION
1. Has this contract been partially or completely terminated for default or convenience?
[ ] Yes for: [ ] Default [ ] Convenience
[ ] No
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).
2. Are there any pending terminations?
[ ] Yes [ ] No
If yes, please explain and indicate the status.
3. Would you recommend this contractor for the award of additional contracts?
[ ] Yes [ ] No
Comment:
NARRATIVE SUMMARY
Use this section to explain additional information not included above.
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