SAQMMA11R0001 Att 4 Past Perf Questionnaire MSWord.doc
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- Solicitation number
- SAQMMA11R0001
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SAQMMA10R0259
ATTACHMENT 4
PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email or send by facsimile [FAX 703-875-5060] to:
Attn: David R. Marr marrdr@state.gov
(703) 875-6056
Wrt: DOS Solicitation SAQMMA11R0001
Desired Response Date: Within 5 days of receipt
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
| 1. CONTRACTOR NAME & ADDRESS: |
| 2. CONTRACT NO.: |
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $
6. TYPE OF CONTRACT:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
Please add a continuation page if additional space necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
O = Outstanding
E = Excellent A = Adequate
M = Marginal P = Poor
N/O = Not Observed
A. Quality of Products and 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).
O E A M P N/O
B. Performance – Assess the contractor’s performance as the Prime Contractor or Sub-contractor (as appropriate) for the project.
A M P
C. Schedule – Assess the timeliness of contractor performance against the schedule of required activities.
A M P
D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
A M P
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
A M P
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
A M P
G. Overall Assessment.
A M P
If an Award Fee contract, what was the average Award Fee % earned?
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