PRESENT PAST PERFORMANCE SURVEY.docx
DOCX document 21 KB Posted
- Attached to
- N099--Rekey Facility Service Federal contract opportunity
- Solicitation number
- 36C24622Q0476
About this file
This document contains a past and present performance survey template for a federal contractor providing facility rekey services. The solicitation is for a 100% small business set-aside rekeying project at the Durham VAMC under solicitation number 36C24622Q0476. Respondents are to evaluate the identified contractor across several performance metrics on a scale of 1 to 6, including supervision, experience, personnel management, deficiency correction, problem resolution, initiative, cooperation, and overall performance. Space is also provided for freeform remarks. Upon completion, the survey is to be emailed to the point of contact listed.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Revised PWS with track changes.pdf | ||
| Revised PWS 1.docx | DOCX document | |
| 36C24622Q0476 0001.docx | DOCX document | |
| VAAR 852.219-77 SEPT 2021 Deviation.docx | DOCX document | |
| QASP.docx | DOCX document | |
| 36C24622Q0476_1.docx | DOCX document |
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Text version
D.2 PRESENT/PAST PERFORMANCE SURVEY
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate.
Solicitation Number: 36C24622Q0476 Facility Rekey Services
Contractor's Name: ___________________________________________________________________
Address: ___________________________________________________________________________ Telephone/Email: ____________________________________________________________________
Point of Contact: _____________________________________________________________________
Service Provided: _____________________________________________________________________
Number and type of Contracts: __________________________________________________________
Contractor Performed as the ( ) prime Contractor, or the ( ) Sub-Contractor
1. RESPONDENT INFORMATION:
Name of Respondent: ___________________________Title: __________________________________
Organization: ________________________________________________________________________
Address: ____________________________________________________________________________
Email: _________________________________________
Telephone Number: ____________________________Fax Number: _____________________________
SIGNATURE______________________________________
1. EMAIL COMPLETED SURVEY FORM TO: Amarlia Van Buren: Amarlia.vanburen@va.gov
PAST AND PRESENT PERFORMANCE SURVEY
1. PERFORMANCE INFORMATION: Choose and circle the number on the scale of 1-6 that most accurately describes the contractor's performance or situation.
CODE/PERFORMANCE LEVEL
1 UNSATISFACTORY - Performance did not meet most contractual requirement. There were serious problems and the contractor's corrective actions were ineffective.
2 MARGINAL - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
3 NONE - No record of past performance or the record is inconclusive.
4 SATISFACTORY - Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor was satisfactory.
5 VERY GOOD - Performance met all contract requirements and exceeded some to the Government's benefit. There were a few minor problems which the contractor resolved in a timely effective manner.
6 EXCEPTIONAL – Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly efficient manner.
The contractor: (1 being Very Bad and 6 being Very Good)
| Contractor provided adequate supervision. |
| 1 2 3 4 5 6 N/A |
| Contractor provided experienced managers and supervisors with the technical and administrative abilities to meet contract requirements. |
| 1 2 3 4 5 6 N/A |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 1 2 3 4 5 6 N/A |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 1 2 3 4 5 6 N/A |
| Provided timely resolution of contract discrepancies. |
| 1 2 3 4 5 6 N/A |
| Suggested alternative approaches to problems. |
| 1 2 3 4 5 6 N/A |
| Displayed initiative to solve problems. |
| 1 2 3 4 5 6 N/A |
| Cooperated with Government personnel after award |
| 1 2 3 4 5 6 N/A |
| Rate the overall contractor’s performance under this contract. |
| 1 2 3 4 5 6 N/A |
| Contractor’s compliance with contractual terms and conditions. |
| 1 2 3 4 5 6 N/A |
| Would you award another contract to this contractor? If not, explain in "remarks." |
| 1 2 3 4 5 6 N/A |
Remarks______________________________________________________________________
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