PSA-16-R-0012_-_Past_Performance_Survey_-_Attachment_III.pdf

PSA-16-R-0012

ATTACHMENT III

PAST PERFORMANCE SURVEY

CONTRACTOR’S NAME: ____________________________________________________________

CONTRACT NUMBER _______________________________________________________________

D. PERFORMANCE INFORMATION:

Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation.

Please answer all sections of the survey.

Please provide a narrative explanation for any ratings of 1 or 2.

1 2 3 4 5 6

NEUTRAL

UNSATIS-

FACTORY

MARGINAL

SATISFACTORY

GOOD

EXCEPTIONAL

Performance was not observed or not applicable to the current effort being reported against.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Place an “X” in the appropriate column using the definitions matrix above

SCHEDULE

1. Contractor’s responsiveness/timeliness in providing the required services.

2. Contractor’s responsiveness/timeliness to administrative functions of the contract.

3. Contractor’s responsiveness/timeliness in responding to questions or correspondence.

4. Contractor’s compliance with contract terms and conditions.

5. Were any contract concessions/changes/terminations made due to the contractor’s failure to accurately plan?

Yes No

MANAGEMENT OF KEY PERSONNEL

6. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

7. Contractor’s preparation & training of personnel.

8. Contractor’s ability to effectively manage subordinates.

QUALITY OF SERVICES

9. Provided effective quality control and/or inspection procedures to meet contract requirements.

10. Followed approved quality control plan.

11. Corrected deficiencies in timely manner and pursuant to quality control procedures.

12. Provided timely resolution of contract discrepancies.

13. Identified problems as they occurred.

14. Suggested alternative approaches to problems.

15. Displayed initiative to solve problems.

16. Developed realistic progress schedules.

17. Met established project schedules.

18. Contractor’s ability to assimilate and accommodate changes in contractual requirements and/or priority.

19. Contractor’s exhibited knowledge of and compliance with Government (or other) regulations.

20. Contractor’s demonstration of technical expertise in providing all contractual services.

21. Contractor possession/utilization of tools/equipment necessary for adequately providing the required services.

22. Contractor’s accomplishment in meeting the quality standards specified for:

a. Technical Performance 1 2 3 4 5 6

b. Administrative Performance 1 2 3 4 5 6

c. Safety & Health 1 2 3 4 5 6

23. Has the Contractor ever failed to effectively control the quality of services provided? If yes, please explain in Remarks Section.

24. Has a Contract Discrepancy Report (or equivalent) ever been issued? If yes, please explain in the Remarks Section.

25. Has a Cure Notice or Show Cause Letter ever been issued? If yes, please explain in the

Remarks Section.

26. Have there been any disputes/claims relative to the contract? If yes, please explain in the

27. Has a Contractor demonstrated the ability to correct any of the problems referenced above?

If yes, please explain in the Remarks Section.

28. Has a Contract been terminated for default? If yes, please explain in the Remarks Section.

29. Has an election ever been made to not exercise an option due to the Contractor’s poor performance? If yes, please explain in the

BUSINESS RELATIONS

30. Contractor’s management of subcontracts.

31. Have there been any labor disputes? If yes, please explain in the Remarks Section.

32. Have there been any violations of public law, especially the Service Contract Act? If yes, please explain in the Remarks Section.

33. Contractor’s ability/willingness to consistently provide prompt and courteous service.

34. Contractor’s ability/willingness to promptly and courteously resolve customer complaints.

35. Contractor’s overall commitment to customer satisfaction.

36. Contractor’s overall cooperation relative to this contract.

37. How would you rate the integration and coordination of all activity needed to perform this contract?

38. How would you rate the Contractor’s overall performance?

39. Would you award another contract to this

Contractor? If not, please explain in the

Remarks:_____________________________________________________________________________