Attachment 2-Nashville.pdf

Attachment 2

PAST PERFORMANCE EVALUATION SURVEY

PLEASE FAX WITHIN 5 DAYS OF RECEIPT

TO: US DEPT OF HUD

ATTN: Simone Terry

RE: Q1A4AAC0019

FAX: (404) 730-3426

FROM: (POC Reference)

NAME OF OFFEROR

DATE:

1. NAME AND ADDRESS OF REFERENCE :

2. CONTRACT NUMBER OR IDENTIFIER TYPE OF CONTRACT* AWARD DATE COMPLETION DATE VALUE

*INCLUDE ALL THAT APPLY: FIRM-FIXED PRICE (FFP); FIXED-PRICE, ECONOMIC PRICE ADJUSTMENT (FP-EPA); COST-PLUS-FIXED-FEE (CPFF), COMPLETION OR TERM;

COST-PLUS-INCENTIVE-FEE (CPIF); COST-PLUS-AWARD -FEE (CPAF) ; COST; COST-SHARING; INDEFINITE DELIVERY/INDEFINITE QUANTITY (IDIQ); BASIC ORDERING

AGREEMENT (BOA); FEDERAL SUPPLY SCHEDULE; REQUIREMENTS; LABOR HOUR; TIME AND MATERIALS (T&M); OTHER

3. DESCRIPTION(S) OF PRODUCTS OR SERVICES PROVIDED:

4. USING THE ATTACHED PERFORMANCE RATING GUIDELINES CHART, PLEASE RATE THE COMPANY LISTED IN 1 ABOVE ON THE CONTRACTS/PROJECTS LISTED IN 2

ABOVE. PROVIDE COMMENTS FOR RATINGS OF EXCELLENT, POOR, OR UNSATISFACTORY

4a. QUALITY OF PRODUCTS AND SERVICES

EXCELLENT (5) GOOD (4) FAIR (3) POOR (2) UNSATISFACTORY (1)

Comments:

4b. TIMELINESS OF PERFORMANCE:

EXCELLENT (5) GOOD (4) FAIR (3) POOR (2) UNSATISFACTORY (1)

4c. COST CONTROL

____ EXCELLENT (5) GOOD (4) FAIR (3) POOR (2) UNSATISFACTORY (1)

4d. BUSINESS RELATIONS:

EXCELLENT (5) GOOD (4) FAIR (3) POOR (2) UNSATISFACTORY (1)

5. WAS/IS THE FIRM COMMITTED TO CUSTOMER SATISFACTION?

YES NO

6 WOULD YOU SELECT THIS FIRM AGAIN AND WHY? PLEASE INCLUDE COMMENTS REGARDING ANY SPECIFIC KEY PERSONNEL ON YOUR

CONTRACT(S) THAT ARE RELEVANT. ATTACH ADDITIONAL SHEET IF NECESSARY.

7a. PRINTED/TYPED NAME AND SIGNATURE OF PREPARER OF SURVEY RESPONSE:

7b. TELEPHONE NUMBER:

FOR OFFICIAL USE ONLY

PERFORMANCE RATING GUIDELINES

IF A FACTOR IS NOT APPLICABLE (FOR EXAMPLE, COST CONTROL ON A FIXED-PRICE CONTRACT), THEN MARK THAT FACTOR AS N/A IN

THE COMMENTS ON THE RATING SHEET.

MEASUREMENT

CATEGORIES AND

APPROPRIATE CRITERIA

QUALITY OF

PRODUCTS AND

SERVICES

-Compliance with contract requirements -Accurate reporting -Use of appropriate personnel -Technical excellence

TIMELINESS OF

PERFORMANCE

-Performance milestones & delivery schedules reliably met -Responsive to technical direction -Timely completion, including wrap-up & contract admin.

-No liquidated damages

COST CONTROL

-Performance within budget/targeted costs -Current, accurate and complete billings -Actual costs in line with negotiated costs -Cost efficient -No change orders due to poor cost control

BUSINESS

RELATIONS

-Effective management -Businesslike communications -Prompt notification of problems -Reasonable, cooperative, flexible, pro-active -Effective small/small disadvantaged business subcontracting

EXCELLENT

There were no quality problems.

There were no delays. There were no cost issues

Responses to inquiries and technical/service issues were consistently effective and responsive.

GOOD

Nonconformances had no effect on achievement of contract requirements.

Delays had no effect on achievement of contract requirements.

Cost issues had no effect on achievement of contract requirements.

Responses to inquiries and technical/service issues was usually effective and responsive.

FAIR

Nonconformances required minor resources to ensure achievement of contract requirements.

Delays required minor resources to ensure achievement of contract requirements.

Cost issues required minor resources to ensure achievement of contract requirements.

Responses to inquiries and technical/service issues were occasionally effective

POOR

required significant resources to ensure achievement of contract requirements.

Delays required significant resources to ensure achievement of contract requirements.

Cost issues required significant resources to ensure achievement of contract requirements.

Responses to inquiries and technical/service issues were marginally effective

UNSATISFACTORY

compromised achievement of contract requirements.

Delays compromised compliance with contract requirements.

Cost issues compromised achievement of contract performance requirements.

Responses to inquiries and technical/service issues were consistently ineffective and unresponsive.