Solicitation 47QFRA22R0007_Attachment 4 - Past Performance Questionnaire.docx
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- Solicitation number
- 47QFRA22R0007
About this file
This document is a past performance questionnaire template for the solicitation for .gov Top Level Domain (TLD) Registry and DNS Services. The General Services Administration Federal Acquisition Service Assisted Acquisition Services Region 8 is seeking these services for the Cybersecurity and Infrastructure Security Agency. Respondents must complete the past performance questionnaire and submit it directly to the government by the specified due date. The past performance questionnaire requests information on a prior contract such as the contract number, type, title, dates, pricing and modifications. It also contains a section for the client to rate and provide narrative comments on the contractor's performance quality, schedule, customer satisfaction, management, security, and compliance with contractual terms.
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Text version
ATTACHMENT 4
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
CONTRACT INFORMATION (Contractor to complete Blocks 1-3)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
| Address: | DUNs Number: |
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
3. Project Information:
Complexity of Work |_| High |_| Med |_| Routine Which project submitted for Factor 1 is this PPQ associated with?
CLIENT INFORMATION (Client to complete Blocks 4-7)
4. Client Information Name:
Title:
Phone Number:
Email Address:
5. Describe the client’s role in the project:
6. Date Questionnaire was completed (mm/dd/yy):
7. Client’s Signature:
NOTE: THE CONTRACTING OFFICER REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE GOVERNMENT AT r8.dotgov@gsa.gov. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
TO BE COMPLETED BY CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY:
| Quality of technical data/report. |
| E VG S M U N |
| Ability to meet quality standards specified for technical performance. |
| E VG S M U N |
| Effectiveness of contract problem resolution without extensive customer guidance. |
| E VG S M U N |
| Effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance). |
| E VG S M U N |
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
| Compliance with contract delivery schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below) |
| E VG S M U N |
| Rate the contractor’s use of available resources to accomplish tasks identified in the contract. |
| E VG S M U N |
3. CUSTOMER SATISFACTION:
| To what extent were the end users satisfied with the project? |
| E VG S M U N |
| Contractor was reasonable and cooperative in dealing with your staff |
| E VG S M U N |
| To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? |
| E VG S M U N |
| Overall customer satisfaction. |
| E VG S M U N |
4. MANAGEMENT
| Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? |
| E VG S M U N |
| Ability to simultaneously manage multiple projects with multiple disciplines. |
| E VG S M U N |
| Ability to incorporate changes in requirements |
| E VG S M U N |
| Effectiveness of overall management |
| E VG S M U N |
5. SECURITY:
| Contractor complied with all security requirements for the project and personnel security requirements. |
| E VG S M U N |
6. GENERAL:
| Compliance with contractual terms/provisions (explain if specific issues). |
| E VG S M U N |
Key:
E – Exceptional VG – Very Good S – Satisfactory M – Marginal U – Unsatisfactory N – Not Applicable
Please provide a brief narrative addressing the questions above for any rating below Satisfactory. (please attach additional pages if necessary):
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