Attachment__6_Past_Performance_Questionaire.pdf

Attachment 6, Past Performance Questionnaire, SB1341-15-RP-0008

PART I: FOR COMPLETION BY OFFEROR.

Instructions:

Offerors are required to complete all items set forth in this Part I for each reference and return the completed forms with the proposal. It is the responsibility of the Offeror to ensure all past performance questionnaires are received by the due date. Late questionnaires will not be evaluated.

Offerors are also required to coordinate with their identified references, supplying them with the completed Part I and blank Part II for completion, sufficiently in advance of the due date identified in Part II.

Name and address of individual/firm being evaluated:

Name of firm/agency for which the referenced work was performed:

Description of firm/agency (check one):

Commercial Federal Government Local/state Government

Address of firm/agency:

Name, title, employer, and contact information for individual providing reference:

Contract number:

Period of performance:

Contract award date:

Contract amount:

Contracting method: Sealed bid Negotiated

Contract type: Firm Fixed Price (FP) FP Incentive FP Economic Price Adjustment

Cost Plus Award Fee Cost Plus Fixed Fee- Completion

Cost Plus Fixed Fee- Term

Cost Plus Incentive Fee

Indefinite Delivery/Indefinite Quantity

Basic Ordering Agreement

Requirements Labor Hour Time and Material

Competition: Competitive Non-competitive

Prime Contractor? Yes No

Description of the contract work:

Relevance of the referenced contract to the current requirement:

PART II: FOR COMPLETION BY REFERENCE.

Instructions:

References are asked to complete all items set forth in this Part II and return the completed form no later than 7 May 2015 at 2:00PM ET. It is the responsibility of the Offeror to ensure all past performance questionnaires are received by the due date. Late questionnaires will not be evaluated.

Responses can be sent by email to clarion.miller@nist.gov

Background Information

Name of respondent:

Position and title:

Employer name:

Employer’s address:

Contact information: Telephone: Fax: e-mail:

Basis of qualification to evaluate contractor’s performance:

Contract number:

Contract award date:

Contract completion date:

Contract amount:

Was a subcontracting plan required?

Yes No

Names of key contractor personnel:

Description of the contract work:

Evaluation

For each performance element identified below, references should evaluate performance of the firm or individual identified in Part 1 of this form. Where the reference lacks sufficient information to provide an evaluation for a particular performance element, this should be noted. Where any deficiency or unfavorable information is identified, the reference should identify any mitigating factors that may weigh in favor of the person/firm on whose behalf the reference is provided (i.e., problems due to causes outside the contractor’s control). An individual within your organization who is knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgment of others within their organization, as applicable.

Date this questionnaire completed:

Please provide answers to the questions listed below. When responding to the questions listed, circle the letter that most accurately describes the contractor’s performance or situation (see the “ratings” chart below for a description of each letter). For any neutral, marginal, or unsatisfactory rating, please provide explanatory narratives in the remarks block. These narratives need not be lengthy, just detailed. If a question is not applicable, circle N/A. If you circle a Yes/No answer that is marked with an asterisk (*), please provide a corresponding explanation in the remarks block. If more space is required, use the back of the questionnaire or attach additional pages. Handwritten responses to this questionnaire are acceptable. However, if responses are handwritten, please print legibly.

Ratings A U

Acceptable Unacceptable clearly met/meets the minimum requirements of the contract

Did not clearly meet the minimum requirements of the contract

PERFORMANCE ELEMENTS:

A. QUALITY OF PRODUCT OR SERVICE

Rating

1. Contractor’s ability to meet minimum quality standards specified for performance.

2. Contractor’s ability to effectively control the quality of services or products provided.

3. Contractor’s compliance with contractual terms and conditions. A U

4. Quality of products or services furnished. A U

5. Overall rating of contractor’s standard of workmanship. A U

6. Overall rating of contractor’s quality of service. A U

B. TIMELINESS OF PERFORMANCE (SCHEDULE)

1. Contractor’s ability to meet specific response times and scheduled timeframes for completion of specific tasks.

2. Contractor’s responsiveness/timeliness for providing administrative reports/documents required by the contract.

3. Contractor’s adherence to delivery schedules. A U

4. Contractor’s timeliness in responding to emergency service requirements. A U

5. Overall rating of contractor’s responsiveness/timeliness. A U

C. BUSINESS RELATIONS/CUSTOMER SATISFACTION

1. Contractor’s ability to identify problems and potential problems, and promptly notify the Contracting Officer.

2. Contractor’s ability to correct problems and prevent or mitigate potential problems in a timely manner.

3. Contractor’s willingness to improve and correct noncompliance issues or concerns.

4. Contractor’s ability to use effective approaches and provide technical expertise and resources to solve contract problems.

5. Extent to which the contractor has demonstrated reasonable and cooperative behavior.

6. Contractor’s effectiveness in interfacing with the Contracting Officer, quality assurance personnel, and customers.

7. Contractor’s flexibility in satisfying the requirements of the contract. A U

8. Extent to which the contractor provided prompt and courteous service when responding to customer complaints.

9. Contractor’s ability to coordinate, integrate, and provide for effective subcontractor management.

10. Overall rating of customer satisfaction. A U

11. Overall rating of business relations. A U

D. MANAGEMENT OF STAFF

1. Contractor’s ability to select and retain cooperative and effective key personnel, such as the project manager and quality control personnel.

2. Extent to which key personnel were knowledgeable about contractual requirements.

3. Contractor’s ability to meet appropriate staffing levels with qualified personnel.

4. Contractor’s ability to provide continuity of key personnel on the contract. A U

5. Contractor’s ability to replace key personnel in a timely fashion. A U

6. Contractor’s ability to effectively manage subcontractors. A U

7. Level of functional expertise of the contractor’s staff. A U

8. Overall rating of contractor’s management of key personnel. A U

E. CONTRACTUAL CONSIDERATIONS

Answer/Rating

Has an election ever been made not to exercise an option or continue relations due to contractor’s poor performance?

YES* NO

2 Has a cure notice or show cause notice ever been issued? YES* NO

Has this contract been partially or completely terminated for default or convenience?

YES* NO

Partially ________ Completely _________

4 Are there any pending terminations? YES* NO

5 Would you hire this contractor again? YES NO*

*REMARKS

Please use this remarks block to provide explanatory narratives for any neutral, marginal, or unsatisfactory rating as well as for any Yes/No answer that is marked with an asterisk (*). These narratives need not be lengthy, just detailed.

PART 3: FOR COMPLETION BY PROPOSAL EVALUATOR:

If taken by phone, name and title of the person conducting the interview:______ _______________________________________________________Date:______