Library_PPQuestionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE Instructions to QUOTER for sending Reference Questionnaire Forms to government/commercial references Send a reference questionnaire for two projects you list as a reference in your quote for your Past Performance Evaluation Factor (Ref Solicitation Attachment 3 Clause 1352.215-70 Proposal Preparation). Fill in all contract data and POC information. Do NOT fill in Table A-F of the Past Performance Questionnaire.

Responses to questionnaires from Government Officials are desired.

It is the Quoter's RESPONSIBILITY to follow-up and to encourage your references to send in their questionnaire. If you have multiple references at one location, send one questionnaire for each contract you want a reference for.

Offeror should delete these instructions before sending out questionnaires.

RELEVANT PAST PERFORMANCE QUESTIONNAIRE

The Vendor listed below is bidding on a Department of Commerce Government contract and needs your help in submitting a Past Performance Questionnaire. The reason you were selected is that the Vendor believes its performance delivered to you in your previous or current contract is relevant to the Commerce Department solicitation. Please fill out the form below and submit the evaluation via email DIRECTLY to the following email addresses: ttripp@doc.gov, gharris@doc.gov. Scanned copies with your ratings and comments, written or typed, are acceptable.

The following information is being requested:

Contract number:

Contractor’s name, operating unit and address:

Type of contract:

Program Name:

Contract Initiation date:

Contract completion date (including extensions):

Years Remaining:

Describe any schedule changes and reasons for schedule changes (if any):

Award Amount:

Current Contract $ Value (including exercised options and extensions):

Projected Final Contract $ Value (including exercised options and extensions):

Reason why Award Amount and Current or Projected Final Contract $ Value differs (if they differ):

Description of the work performed (include the size, scope, and complexity of the project):

Evaluators name, position, organization, and role on the contract:

Evaluator’s phone # and email address:

Number of month’s contractor performance was monitored by evaluator:

A. Please rate each item listed below (circling is preferable; Use 1 through 5 with 5 being outstanding and 1 being unsatisfactory; N/O (Not Observed)) and Provide Comments to identify Specific Strengths/Weaknesses in each area

A1. Quality of Products or Services: Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

A2. Proficiency in:

A3. Management of Key Personnel: Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

Comments (List specific strengths and weaknesses):

B. Timeliness of Performance - Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, administrative requirements (e.g., efforts that contribute to or affect the schedule variance).

Comments (List specific strengths and weaknesses):

C. Cost Control - Assess the contractor’s effectiveness in forecasting, managing, and controlling contract costs. For Firm Fixed Price contracts were products/services delivered according to schedule, quality expected, and at the cost agreed upon at the time of award?

Comments (List specific strengths and weaknesses):

D. Business Relations - Assess the integration and coordination of relationships needed to execute the contract

Comments (List specific strengths and weaknesses):

E. Resolution of Problems - Assess the contractor’s performance in resolving problems that arose during performance of the contract.

Comments (List specific strengths and weaknesses):

F. Overall Assessment: (please circle)

NOT OBSERVED

Comments (List any major strengths and major weaknesses):

SA1301-15-RQ-0019

Attachment 2: Past Performance Questionnaire