Section J Google Past Performance Questionnaire Example.pdf

Name of offeror proposing under RFQ 47PG0123R0002

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RFQ 47PG0123R0002 Administrative and Professional Support: Past Performance Survey for [OFFEROR] This past performance survey must be submitted via the Respondent. Failure to complete the Contract Identi�cation Section, or the Respondent Identi�cation section may result in this Past Performance Survey being rejected.

The Government reserves the right to contact the Respondent to verify the accuracy of the submitted survey.

If you have any questions regarding this past performance survey, please contact Thomas Prince, Contract Specialist, at thomase.prince@gsa.gov.

* Required

Project Number/Title *

Project Location *

Project Description * mailto:thomase.prince@gsa.gov

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Name of Evaluator

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Number of employees under project (minimum 25) *

Types/Classification of employees under project *

Project dollar amount *

Project commencement and end dates *

Project Manager *

Your relation to project *

Company name *

Respondent Telephone Number *

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Mark only one oval.

Yes

No

Evaluation Section

From a scale of 1 to 5, 1 being unacceptable and 5 being excellent, please provide your rating on the factors listed below. Please select "N/A" if an evaluation factor does/did not apply to the contract/project being evaluated.

1. QUALITY

Quality assesses the Contractor's conformance to contract or project requirements, speci�cations and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards). When rating the Contractor consider, as applicable, information on the following:

1. Did the service provided meet the speci�cations/requirements of the contract or project?

2. Did the contractor’s work meet commonly accepted technical or professional standards?

3. What degree of technical direction was required by you to solve problems, if any, that arose during performance?

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Respondent Email Address *

Do you certify that the person submitting this Past Performance Survey is the Respondent identified above and that all information is true and accurate based on your knowledge?

Please provide a narrative describing the quality of the vendor's performance

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Mark only one oval.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

2. SCHEDULE

Schedule assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance). When rating the Contractor consider, as applicable, information on the following:

1. Did the Contractor adequately schedule work required under the contract/project?

2. Did the Contractor miss any approved schedule through their own fault or negligence? If so, did the Contractor take appropriate corrective action?

3. Did the Contractor submit all required deliverables on schedule?

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How would you rate the Contractor's quality under this contract/project? *

Please provide a narrative describing the vendor's adherence to any/all schedules under the contract/project.

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Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

3. COST CONTROL

Cost control assesses the Contractor's effectiveness in forecasting, managing, and controlling contract or order cost. If the Contractor is experiencing cost growth or underrun, discuss the causes and Contractor-proposed solutions for the cost overruns or underruns. For contracts or orders where task or contract sizing is based upon contractor-provided person hour estimates, the relationship of these estimates to ultimate task cost should be assessed. In addition, the extent to which the Contractor demonstrates a sense of cost responsibility, through the e�cient use of resources, in each work effort should be assessed. Include, as applicable, the following information:

1. Did the Contractor do anything innovative that resulted in cost savings?

2. Were billings current, accurate and complete?

3. Are the Contractor's budgetary internal controls adequate?

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How would you rate the adherence to any/all schedules under the contract/project?

Please provide a narrative describing the vendor's to cost control under the contract/project.

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Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4. MANAGEMENT

Management assesses the integration and coordination of all activity needed to execute the contract or order, speci�cally the timeliness, completeness and quality of problem identi�cation, corrective action plans, proposal submittals, the Contractor's history of reasonable and cooperative behavior (to include timely identi�cation of issues in controversy), customer satisfaction, timely award and management of subcontracts. When rating the Contractor consider, as applicable, information on the following:

1. The timeliness, completeness, and quality of problem identi�cation, corrective action plans, proposal submittals, the Contractor's history of reasonable and cooperative behavior, effective business relations, and customer satisfaction.

2. Contractor's effort devoted to managing subcontracts and whether subcontractors were an integral part of the Contractor's team. - Consider efforts taken to ensure early identi�cation of subcontract problems, and the timely application of corporate resources to preclude subcontract problems from impacting overall contract performance

3. How well did the contractor match the quali�cations of the key position, as described in the contract/order, with the person who �lled the key position?

4. Did the contractor support key personnel so they were able to work effectively?

How would you rate the adherence to cost control under the contract/project? *

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Mark only one oval.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

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Please provide a narrative describing the vendor's management performance under the contract/project.

How would you rate the Contractor's compliance with management requirements under the contract/project?

Please indicate in writing any additional comments you have of the offeror regarding the strengths or weaknesses of their performance, or any additional thoughts regarding the offeror.

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Yes

No, please explain below.

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Would you award another contract/project to this Contractor? *

If you answered "no" to the question above, please explain why you would not award another contract/project to this Contractor.

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