Past_Perf_Quest.docx

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Maitenance Services for Air Dryers & Compressors
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SB1341-17-RQ-0322
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Past Performance Questionnaire

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COMPLETED QUESTIONNAIRES BY REFERENCES MUST BE SUBMITTED DIRECTLY TO THE GOVERNMENT TPOC, RANDY WIXOM AT randy.wixom@nist.gov BY JUNE 5, 2017.

CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

Contractor's Name:

Contract/Task Number: Order:

Contractor was Prime or Sub:

Contract Value:

Contract Award Date:

Contract Completion Date:

Contract Type:

1. Please describe the services provided by the Contractor for your organization.

2. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Outstand (O), Good (G), Satisfactory (S), Marginal (M), Unsatisfactory (U) or Not Applicable (N/A).

PAST PERFORMANCE DEFINITIONS

The following definitions are to be used when assessing past performance:

Outstanding: Performance significantly exceeded minimal technical requirements and met all other contract requirements. Areas in which performance was exceptional could include: early deliveries; creative approach; innovative technology; effective management and administration; commitment to quality, customer satisfaction.

Good: Performance met or exceeded all contract or task requirements and exceeded minimal requirements in some areas. Some exceptional strengths, features or innovations. No problems with quality, timeliness, or cost issues. Management was responsive.

Satisfactory: Performance met all technical and administrative contract or task requirements. No exceptional strengths, features, or innovations. Minor issues arose which were resolved with minimal expenditure of time or resources. A minimal amount of direction was required by the COTR or Technical Monitor.

Marginal: Performance failed to meet all technical and administrative contract or task requirements. Significant issues arose which were resolved with significant expenditure of time or resources. A significant amount of direction was required by the COTR or Technical Monitor.

Unsatisfactory: Performance failed to satisfy the minimum contract or task requirements, technical or otherwise. Areas of deficiency could include, but are not limited to: failure to meet schedules; failure to adequately estimate or control costs; failure to meet schedules; failure to adequately estimate or control costs; inadequate staffing; lack of cooperation and responsiveness.

N/A = Not Applicable: Evaluation criteria not applicable to this contract or task.

Performance Area (Elements): Circle the rating that best describes the Contractor's performance for the following areas: Quality of Products and Services, Timeliness, Cost Control, Problem Resolution, and Customer Service.

(a) Quality of Products and Services (Compliance with contract requirements: Appropriateness of personnel assigned; Technical excellence: Businesslike contract administration; Responsive to technical direction, Accuracy of reports).

Rating: O, G, S, M, U, N/A (Circle Only One)

(b) Timeliness (Meets milestones; No liquidated damages assessed).

Rating: O, G, S, M, U, N/A (Circle Only One)

(c) Cost Control (Within budget; current, accurate, and complete billing; Unallowable costs not billed.)

Rating: O, G, S, M, U, N/A (Circle Only One)

(d) Problem Resolution (Anticipates and avoids or mitigates problems; Prompt notification of problems;

Effective contractor-recommended solutions.)

Rating: O, G, S, M, U, N/A (Circle Only One)

(e) Customer Service (Understands and embraces service and program goals; Team approach with government; Satisfaction of end users with the Contractor’s service; Prompt responses and courteous interactions; Effective escalations and referrals; Initiative and proactive improvements.

Rating: O, G, S, M, U, N/A (Circle Only One)

OVERALL PAST PERFORMANCE RATING: O, G, S, M, U, N/A (Circle Only One)

3. For ratings “Outstanding”, “Marginal”, or “Unsatisfactory, please provide a brief comment/explanation:

(a) Quality of Products and Services:

(b) Timeliness:

(c) Cost Control:

(d) Problem Resolution:

(e) Customer Service:

Evaluator Name (Print): ___________________________

Position/Title: _____________________________

Signature: _____________________________

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