RFP 70FB8025R00000001 Attachment 7 Past Performance Questionnaire.pdf
PDF 202 KB Posted
- Attached to
- FEMA LogHOUSE II - Logistics Housing Operations Unit Installation, Maintenance and Deactivation Federal contract opportunity
- Solicitation number
- RFP-70FB8025R00000001
- Issued by
- Federal Emergency Management Agency
About this file
This is a Past Performance Questionnaire template (Attachment 7) for FEMA's LogHOUSE II contract opportunity. The questionnaire is designed to collect performance feedback from previous clients/agencies about contractors, with assessment categories including quality of product/service, schedule adherence, cost control, business relations, management of key personnel, reliability, customer support, and overall performance. Each category is rated on a scale from Unsatisfactory to Exceptional, with an N/A option.
The form requires basic contract information including the name of the firm/agency providing feedback, project details, period of performance, contract type, award date, completion date, awarded value, and current contract value. It also requests contact information for the assessing official. Completed questionnaires are to be returned via email to fema-loghouse-ctadmin@fema.dhs.gov. The form emphasizes the importance of providing factual and accurate information since it will be used in past performance evaluations for a federal contract.
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Text version
ATTACHMENT 7
Past Performance Questionnaire
1. NAME OF FIRM/AGENCY PROVIDING FEEDBACK:
PROJECT NAME:
PERIOD OF PERFORMANCE: CONTRACT TYPE (if applicable):
CONTRACT AWARD DATE: CONTRACT COMPLETION DATE:
AWARDED VALUE: CURRENT CONTRACT DOLLAR VALUE:
2. NAME OF ASSESSING OFFICIAL:
EMAIL: PHONE NUMBER:
TITLE:
CONTRACT OR ORDER NUMBER (if applicable):
3. ASSESS THE FOLLOWING AREAS: (Check the appropriate box for each assessment category)
4 ADDITIONAL COMMENTS:
Assessment Categories Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A
a. QUALITY OF PRODUCT OR SERVICE
b. SCHEDULE
c. COST CONTROL
d. BUSINESS RELATIONS
e. MANAGEMENT OF KEY PERSONNEL
f. RELIABILITY
g. CUSTOMER SUPPORT
h. OVERALL PERFORMANCE
i. OTHER AREAS:
(1)
(2)
The information that you provide will be used in the past performance evaluation for a federal contract. Therefore, it is important that the information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). Please return this completed Questionnaire via e-mail to: fema-loghouse-ctadmin@fema.dhs.gov
| 1 NAME OF FIRMAGENCY PROVIDING FEEDBACK: |
| PROJECT NAME: |
| PERIOD OF PERFORMANCE: |
| CONTRACT TYPE if applicable: |
| CONTRACT AWARD DATE: |
| CONTRACT COMPLETION DATE: |
| AWARDED VALUE: |
| CURRENT CONTRACT DOLLAR VALUE: |
| 2 NAME OF ASSESSING OFFICIAL: |
| EMAIL: |
| PHONE NUMBER: |
| ASSOCIATION WITH FIRM BEING RATED including role: |
| CONTRACT OR ORDER NUMBER if applicable: |
| Assessment Categories: |
| Unsatisfactorya QUALITY OF PRODUCT OR SERVICE: |
| Marginala QUALITY OF PRODUCT OR SERVICE: |
| Satisfactorya QUALITY OF PRODUCT OR SERVICE: |
| Very Gooda QUALITY OF PRODUCT OR SERVICE: |
| Exceptionala QUALITY OF PRODUCT OR SERVICE: |
| NAa QUALITY OF PRODUCT OR SERVICE: |
| Unsatisfactoryb SCHEDULE: |
| Marginalb SCHEDULE: |
| Satisfactoryb SCHEDULE: |
| Very Goodb SCHEDULE: |
| Exceptionalb SCHEDULE: |
| NAb SCHEDULE: |
| Unsatisfactoryc COST CONTROL: |
| Marginalc COST CONTROL: |
| Satisfactoryc COST CONTROL: |
| Very Goodc COST CONTROL: |
| Exceptionalc COST CONTROL: |
| NAc COST CONTROL: |
| Unsatisfactoryd BUSINESS RELATIONS: |
| Marginald BUSINESS RELATIONS: |
| Satisfactoryd BUSINESS RELATIONS: |
| Very Goodd BUSINESS RELATIONS: |
| Exceptionald BUSINESS RELATIONS: |
| NAd BUSINESS RELATIONS: |
| Unsatisfactorye MANAGEMENT OF KEY PERSONNEL: |
| Marginale MANAGEMENT OF KEY PERSONNEL: |
| Satisfactorye MANAGEMENT OF KEY PERSONNEL: |
| Very Goode MANAGEMENT OF KEY PERSONNEL: |
| Exceptionale MANAGEMENT OF KEY PERSONNEL: |
| NAe MANAGEMENT OF KEY PERSONNEL: |
| Unsatisfactoryf RELIABILITY: |
| Marginalf RELIABILITY: |
| Satisfactoryf RELIABILITY: |
| Very Goodf RELIABILITY: |
| Exceptionalf RELIABILITY: |
| NAf RELIABILITY: |
| Unsatisfactoryg CUSTOMER SUPPORT: |
| Marginalg CUSTOMER SUPPORT: |
| Satisfactoryg CUSTOMER SUPPORT: |
| Very Goodg CUSTOMER SUPPORT: |
| Exceptionalg CUSTOMER SUPPORT: |
| NAg CUSTOMER SUPPORT: |
| Unsatisfactoryh OVERALL PERFORMANCE: |
| Marginalh OVERALL PERFORMANCE: |
| Satisfactoryh OVERALL PERFORMANCE: |
| Very Goodh OVERALL PERFORMANCE: |
| Exceptionalh OVERALL PERFORMANCE: |
| NAh OVERALL PERFORMANCE: |
| Unsatisfactoryi OTHER AREAS: |
| Marginali OTHER AREAS: |
| Satisfactoryi OTHER AREAS: |
| Very Goodi OTHER AREAS: |
| Exceptionali OTHER AREAS: |
| NAi OTHER AREAS: |
| 1: |
| Unsatisfactory1: |
| Marginal1: |
| Satisfactory1: |
| Very Good1: |
| Exceptional1: |
| NA1: |
| 2: |
| Unsatisfactory2: |
| Marginal2: |
| Satisfactory2: |
| Very Good2: |
| Exceptional2: |
| NA2: |
| 4 ADDITIONAL COMMENTS: |
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