Attachment_J-7.doc

PAST PERFORMANCE QUESTIONNAIRE

Performance Categories

Quality of Product or Service:- Assess the contractor's conformance to contract requirements, specifications and standard of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards).

Schedule: 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 effect the schedule variance).

Business Relations: Assess the integration and coordination of all activity needed to execute the contract, specifically he timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor's history of reasonable and cooperative behavior, customer satisfaction, timely award and management of subordinates, and whether the contractor met small/small disadvantaged and women-owned business participation goals.

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

Assessment Ratings

Exceptional. Performance meets contractual requirements and exceeds many to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good. Performance meets contractual requirements and exceeds some to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory. 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 appear or were satisfactory.

Marginal. 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 nto yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory. Performance does not meet most contractual require3ments and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

PAST PERFORMANCE QUESTIONNAIRE

Name of Offeror: ___________________

Name of Client: ___________________

Contract Number: ___________________

Contract Value: ___________________

Type of Contract: ___________________

Date of Contract Performance: _______________________

End of Contract Performance: ________________________

Performance

Categories

Quality of Product or Service

Schedule

Business Relations

Management of Key Personnel

Overall Performance

The above must be supported by comments below if Exceptional or Unsatisfactory

Remarks on Exceptional Performance (provide information supporting this observation):

Remarks on Unsatisfactory Performance (provide information supporting this observation):

Would you do business with this company again (Explain why you would or would not)?

Information provided by:

Name: _________________________ Title: ________________________

Company: ______________________________

Mailing Address: _________________________

Telephone: ______________________________

E-mail: ____________________________

Signature: _______________________________

Date: _____________________