PERFORMANCE QUESTIONNAIRE.docx

ATTACHMENT 2 - PAST PERFORMANCE QUESTIONNAIRE PAST PERFORMANCE QUESTIONNAIRE

SECTION A: Contractor Information (to be completed by the contractor for who past performance information is being collected, prior to forwarding to assessors).

Note: Do NOT send this PPQ to the rated contractor, document is to be forwarded to the Contracting Officer Michael.brown1305@va.gov.

1. Prospective Government Contractor’s Name and Address

2. Contractor Point of Contact:

3. Phone Number (with area code):

4. Assessor Contract Award Number:

5. Description of Services:

Assessor Name

Title

Phone Number/Email Address

8. Authorization is hereby granted to provide the information requested in this questionnaire to NCO 9 Network Contracting Activity, Murfreesboro, Tennessee.

Signature

Name and Title of Authorizing Official Date

SECTION B: Assessors Information (to be completed by assessors).

RATING SCALE Definitions

Past Performance

VERY

RELEVANT

Past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

complexities this solicitation requires.

SOMEWHAT

RELEVANT

Past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

NOT

RELEVANT

Past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

Past Performance Confidence Ratings

The questions on the survey (see below) shall be rated in accordance with the definitions provided in the Rating Scale. Any unsatisfactory or marginal rating shall be supplemented with an explanation in the space provided.

Management Effectiveness

1. Rate the contractor's compliance with contractual requirements.

(i) Offeror provided experienced personnel with technical and administrative abilities to meet contract requirements.

(ii) Offeror provided appropriate system documentation

(iii) Offeror’s overall management effectiveness

EXCEPTIONAL HIGHLY ACCEPTABLE ACCEPTABLE MARGINAL UNACCEPTABLE

PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:

Quality of Service and Workmanship

2. Rate the contractor's compliance with contractual requirements.

(i) Offeror provided professional services

(ii) Offeror maintained the quality products/service

(iii) Offeror achieved throughput specifications

(iv) Offeror achieved accuracy specifications

(v) Offeror achieved integration specifications (if applicable)

(vi) Offeror’s overall quality of products/service

EXCEPTIONAL HIGHLY ACCEPTABLE ACCEPTABLE MARGINAL UNACCEPTABLE PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:

Timeliness/Adherence to Schedules

3. Delivery of service was within required time period specified by contract requirements.

(i) Offeror delivered items timely as identified in your contract

(ii) Offeror was proactive in keeping you informed of schedule conflicts if they were going to occur

(iii) Offeror responded to emergency requirements in a timely manner

(iv) Overall offeror timeliness

EXCEPTIONAL HIGHLY ACCEPTABLE ACCEPTABLE MARGINAL UNACCEPTABLE PLEASE PROVIDE RATIONALE FOR ASSIGNED RATING:

Training/Technical Support

4. Rate the contractor's ability to provide required training/provide adequate technical support.

(i) Offeror provided useful quality training

(ii) Offeror provided prompt technical support after delivery

(iii) Offeror’s overall quality of training/technical support

Customer Satisfaction

5. Rate the contractor's ability to satisfy Customer expectations. control cost and submit invoices. Are invoices complete, accurate, and timely?

(i) Offeror maintained a professional working relationship

(ii) Offeror was reasonable and cooperative in resolving customer complaints

(iii) Offeror was flexible in responding to urgent requirements

(iv) Overall customer satisfaction

How would you feel about awarding another contract to this contractor?

Would not hesitate to award another contract to this contractor.

Would most likely award another contract to this contractor.

Would think twice about awarding another contract to this contractor but would do so if no better alternative existed.

Do not wish to award another contact to this contractor.

Would not award another contract to this contractor.

Overall rating of contractor's performance (quality, schedule, business relations,) on contract being assessed.

VII. General Comments:

ASSESSOR:

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

ROLE

PERIOD OF INVOLVEMENT

Contract Specialist/Contracting Officer

Technical Project Lead/Project Officer

OTHERS

(Signature) (Date)

(Typed or Printed Name) (Organization Name)

(Phone Number)