Past_Performance_Questionnaire_Solicitation_1305M326Q0325.pdf

1305M326Q0325

ATTACHMENT #2

Source Selection Information – See RFO 2.101 and RFO 3.104

For Official Use Only

Past Performance Questionnaire Template

Instructions:

◊ Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

◊ Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

◊ Sections III through IV to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: name@noaa.gov.

I. Solicitation Data (for the proposed effort)

Solicitation Number 1305M326Q0325 Project/Requirement DNA Next Generation Sequencing Customer/Agency NOAA ACGO, on behalf of Northeast Fisheries Science Center (NEFSC) Project/Requirement Description

Purchase of DNA Next Generation Sequencing Testing

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract No Type of Contract Initial Final Contract Value Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role ☐ PRIME ☐ SUBCONTRACTOR Termination History ☐ Convenience ☐ Default ☐ N/A

1305M326Q0325

ATTACHMENT #2

Source Selection Information – See RFO 2.101 and RFO 3.104

For Official Use Only

III. Assessor Information

Assessor Name Title Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

✔ Role Period of Involvement

Procuring Contracting Officer (PCO) Administrative Contracting Officer (ACO)

Contract Specialist Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer Quality Assurance Specialist Defense Contract Audit Agency (DCAA)

Auditor

Other:

IV. Overall Performance Rating

Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Additional comments/notes: