Past Performance Questionnaire.docx

Past Performance Evaluation

The United States Agency for International Development recently released a request for quotations on federal business opportunities. Offerors were asked to provide information on contracts of similar size and service which they had performed in the past. An offeror has submitted you as a reference for past performance. (See blocks 1 & 2 below)

We need your opinion on how well the Contractor performed on your contract. Please fill out the attached questionnaire and email to Lance Butler III at lbutler@usaid.gov. USAID may contact you to clarify or verify any information provided.

Your input will be confidential. Please note your comments will be used to form the basis for evaluation of this Offeror. Thank you in advance for your assistance. If you have any questions, please contact Lance Butler III at 202-567-5304 or lbutler@usaid.gov.

Contractor Name:

Contract Number:

Contract Type:

Contract Period of Performance:

Contract Price:

Type of Supplies/Services Evaluator’s Contact Information:

Reference/Company Name

Evaluator’s Printed Name Title/Role (e.g. Program Manager, Contracting Officer)

Evaluator’s Mailing Address (Agency, Bldg/Rm, Street, City, State, Zip

Please provide comments for each answer given. Please add additional pages if necessary.

1. Describe the type of contract (including contract price) you had with the contractor?

2. What was the contract performance period?

3. Did the contractor provide a quality product or service?

|_| Excellent – Contractor provided an excellent product/service – no problems |_| Good – Contractor provided a good product/service – very few (2 or less) problems |_| Fair – Contractor provided a fair product/service – several (more than 2 but less than 5) instances of problems |_| Poor – Contractor provided a poor product/service – many (5 or more) problems occurred

4. Did the contractor have the appropriate number of personnel, materials and equipment to perform the contract requirements?

|_| Excellent – Contractor provided appropriate number of employees/trucks needed to perform the service |_| Good – Contractor had a few problems (2 or less) with personnel/equipment |_| Fair – Contractor had several (more than 2 but less than 5) problems with personnel/equipment |_| Poor – Contractor had many (5 or more) problems with contractor personnel/equipment

5. Were there any problems in performing the contract requirements?

|_| Excellent – Contractor experienced no problems in performing the contract requirements |_| Good – Contractor experienced few (2 or less) problems in performing the contract requirements |_| Fair – Contractor experienced several (more than 2 but less than 5) problems in performing the contract requirements |_| Poor – Contractor experienced many (5 or more) problems in performing the contract requirements

6. Did the contractor resolve problems encountered to meet the satisfaction of the destination and pickup locations?

|_| Excellent – Problems were resolved immediately |_| Good – Problem were resolved within 1-2 days |_| Fair – Problems were resolved within 3-4 days |_| Poor – Problems were resolved 5 days or longer

7. Did the contractor promptly notify you of any problems in performing the contract requirements?

|_| Excellent – Contractor promptly notified us of any problems |_| Good – Contractor took 1-2 days to notify us of any problems |_| Fair – Contractor took 3-4 days to notify us of any problems |_| Poor – Contractor took 5 days or longer to notify us of any problems

8. Did the contractor meet the pickup and delivery schedule as agreed by the destination and pickup locations?

|_| Excellent – Contractor met pickup and delivery schedule |_| Good – Contractor did not meet all pickup and delivery schedules (2 or less times) |_| Fair – Contractor did not meet all meet all pickup and delivery schedules (more than 2 times but less than 5 times) |_| Poor – Contractor did not meet all meet all pickup and delivery schedules (5 or more)

9. Did the contractor stay on schedule despite any problems that may have occurred?

|_| Excellent – Contractor stayed on schedule despite problems/no problems |_| Good – Contractor was off schedule by 1-2 days because of problems |_| Fair – Contractor was off schedule by 3-4 days because of problems |_| Poor – Contractor was off schedule 5 or more days because of problems

10. Did the contractor provide effective management of the contract?

|_| Excellent – Contractor effectively managed the contract.

|_| Good – Contractor had few (2 or less) problems managing the contract.

|_| Fair – Contractor had some (3 or more but less than 5) problems managing the contract.

|_| Poor – Contractor had many (5 or more) problems managing the contract.

11. Did the contractor experience numerous staff turnover under the contract?

|_| Excellent – Contractor had no staff turnover under the contract |_| Good – Contract had few (2 or less) instances of staff turnover under the contract |_| Fair – Contractor had some (3 or more but less than 5) instances of staff turnover under the contract |_| Poor – Contractor had many (5 or more) instances of staff turnover under the contract

12. Did the contractor provide good customer service?

|_| Excellent – Excellent customer service/no problems encountered |_| Good – Good customer service/few problems (2 or less) encountered |_| Fair – Fair customer service/several (more than 2 but less than 5) problems encountered |_| Poor – Poor customer service/many (5 or more) problems encountered

13. Were your end users satisfied with the contractor's service?

|_| Excellent – No problems reported |_| Good – A few problems (2 or less) reported |_| Fair – Several (more than 2 but less than 5) problems reported |_| Poor – Many (5 or more) problems reported

Additional Comments:

image1.png oleObject1.bin