Attachment_B_PastPerformanceCustomerSatisfactionSurvey.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- GITM Printers Federal contract opportunity
- Solicitation number
- SAQMMA14R0407
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Past Performance Customer Satisfaction Survey
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Customer Satisfaction Survey
| PAST PERFORMANCE CUSTOMER SATISFACTION SURVEY | |
| Introduction: The United States Department of State (DOS) is currently conducting a competitive procurement for COTS Printers, for which the prospective offeror [insert name of company] has been requested to identify Government agencies with whom it is currently or has been recently under contract, to serve as potential references on its past performance record. You are being asked to complete the attached Contractor Past Performance Survey. You may also be contacted by a DOS procurement official to arrange a telephone interview, using the survey as the focal point of the interview. To ensure frank and open evaluations and expressions of opinions by evaluators, all parties are advised that the identity of respondents completing the survey will be held in confidence and will not be released or disclosed to the contractor or outside the Government. | |
| Instructions: Please complete all areas of this form indicated in light yellow. | |
| PART I - CONTRACT INFORMATION | |
| a. Contractor: | |
| b. Customer Name (Federal Agency or Other): | |
| c. Technical Point of Contact Information | |
| i. Name: | |
| ii. Telephone Number: | |
| iii. Facsimile Number: | |
| iv. E-mail Address: | |
| v. Mailing Address: | |
| vi. Position Title/Grade: | |
| d. Contract Number: | |
| e. Type of Contract | (Select responses from drop down menu) |
| i. Negotiated or Sealed Bidding: | |
| ii. Competitive or Non-Competitive: | |
| iii. Firm-Fixed-Price, Cost-Plus, Time-and-Materials/Labor Hour, Hybrid, or Other: | |
| iv. Indefinite Quantity, Requirements, or neither: | |
| f. Contract Period of Performance: | |
| h. Initial Contract Value: $ | |
| i. Current (or Completed) Contract Value: $ | |
| j. Brief Description of the Contract Requirement: | |
| PART II - GOVERNMENT PAST PERFORMANCE/CUSTOMER SATISFACTION EVALUATION | |
| EVALUATION CRITERIA | |
| EXCELLENT: Indicates the Contractor's performance within the area of evaluation clearly and consistently exceed contractual requirements. | |
| SATISFACTORY: Indicates the Contractor's performance within the area of evaluation met the contractual requirements. | |
| MARGINAL: Indicates the Contractor's performance within the area of evaluation experienced minor problems for which solutions were satisfactory. | |
| UNACCEPTABLE: Indicates the Contractor's performance within the area of evaluation experienced serious problems. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur. |
| EVALUATION AREA 1: QUALITY OF SERVICES | |
| (Select the rating that applies from drop down menu) | |
| Overall ability to proactively and aggressively perform contract requirements, including Section 508 constraints: | |
| Effectiveness of the contractor's performance skills: | |
| Ability to retain qualified personnel on the project: | |
| Effectiveness and reliability of contractor's key personnel: | |
| EVALUATION AREA 2: TIMELINESS OF PERFORMANCE | |
| (Select the rating that applies from drop down menu) | |
| Overall performance in planning, scheduling, and monitoring: | |
| Timely completion of efforts within period of performance: | |
| EVALUATION AREA 3: PRICE/COST CONTROL | |
| (Select the rating that applies from drop down menu) | |
| Quality, completeness, timeliness and accuracy of price/cost proposals/invoices: | |
| Ability to perform within negotiated costs/prices: | |
| Ability to provide innovative solutions that resulted in cost savings: | |
| EVALUATION AREA 4: BUSINESS RELATIONS | |
| (Select the rating that applies from drop down menu) | |
| Ability to effectively manage contract: | |
| Ability to work in collaboration with other contractors towards a common goal: | |
| EVALUATION AREA 5: CUSTOMER SATISFACTION | |
| (Select the rating that applies from drop down menu) | |
| Maintains a single effective point of contact to manage and resolve problems: | |
| Effectiveness in interfacing with personnel in your organization: | |
| Overall ability to resolve performance issues: | |
| EVALUATION AREA 6: OVERALL CONTRACT PERFORMANCE | |
| (Select the rating that applies from drop down menu) | |
| Based on this contractor's overall performance, would you award this contractor another contract? | |
| COMMENTS (Please include any additional comments concerning the past performance of the contractor): |
| Thank You for completing this past performance evaluation. Please email the completed survey to the following address: |
| U. S. Department of State |
| Office of Acquisition Management |
| ATTN: Ms. Nichole Townes |
| PHONE: 703-516-1580 |
| E-MAIL ADDRESS: TownesNS@state.gov |
File details come from the government source that posted it. Updated .