Past_Performance_Questionnaire_16Q4009.docx

Attachment J.1 Past Performance Questionnaire

The organization named below is asking you to be a past performance reference by completing this questionnaire. The Government refers to this organization as the Offeror. You are the client.

Name of Offeror:

This questionnaire is part of the Offeror’s response in a Government source selection. By requesting you to complete this questionnaire, the Offeror intends to use you as a reference for Government source selection evaluation purposes. The Government considers the information you provide here to be Source Selection Sensitive and confidential. The Government intends to use this data only for this source selection.

The Government asks that your answers to questions be honest and forthright, and that they be based only on your direct personal knowledge of the Offeror. The Government will not share your responses outside of this source selection.

To ensure fairness and impartiality, the Government asks that you e-mail your questionnaire to the Government to the Contracting Officer (Erin Williams) at WilliamsEE3@state.gov. If you e-mail your response back to the Government, please include the solicitation number (SFSIAQ16Q4009) in the subject line.

As another option, you may mail your completed and signed questionnaire directly to the Government at:

Office of Acquisitions Foreign Service Institute Department of State Washington, D.C. 20520-4201 ATTN: Erin Williams (SFSIAQ16Q4009)

The Offeror is required to provide you prepaid and pre-addressed envelope(s). Be aware that the Offeror is not to participate in your questionnaire responses in any way whatsoever.

CONTRACTOR PERFORMANCE EVALUATION

Name of Company:

Name of Individual Completing this form:

Contracting with:

Contract Type:

Length of time your office has been involved with this company:

Description of the Services Provided:

CONTRACTOR PERFORMANCE EVALUATION SURVEY

Neutral

/ NA

Exceeded Requirement

Met Requirement

Did not meet Requirement

A. QUALITY OF PRODUCT OR SERVICE:

(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship.

(2) The Contractor submitted accurate reports.

(3) The Contractor utilized personnel that were appropriate to the effort performed.

B. COST CONTROL:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Contractor demonstrated cost efficiencies in performing the required effort.

(4) The actual costs/rates realized closely reflected the negotiated costs/rates.

C. SCHEDULE:

(1) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

(2) The Contractor was responsive to technical and/or contractual direction.

D. BUSINESS RELATIONSHIPS:

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) was apprised of technical, cost, and schedule issues.

(3) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

(4) The Contractor promptly notified the COR and/or Contracting Officer in a timely manner regarding urgent issues.

(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

E. CUSTOMER SATISFACTION:

(1) The products/services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or the TPOC.

(3) I am satisfied with the performance of the Contractor under this effort.

F. PERSONNEL:

(1) The labor turnover in personnel labor categories was minimal and did not adversely affect Contractor performance.

(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.

3) Were key personnel available? How often did they visit and meet with your office?

G. OTHER:

(1) Would you award this firm another contract? ( ) Yes ( ) No If “No”, please provide an explanation.____________________________________________________________________