Attachment_C_Past_Performance_Questionnaire.docx

Region 4 Emergency Response Technical Equipment Management_______________________SOL-R4-16-00003

ATTACHMENT C

Past Performance Questionnaire

STANDARD CONTRACTOR

PAST PERFORMANCE QUESTIONNAIRE

This is a past performance questionnaire for The U.S. Environmental Protection Agency (EPA) to obtain past performance information on the contractor listed below. You should have received this questionnaire along with a Client Authorization Letter from the contractor listed below asking for your cooperation in completing this questionnaire. Information obtained in this questionnaire is for the sole purpose of evaluating the contractor’s past performance history to assist EPA in determining the best value for award of a contract resulting from our solicitation. As a reviewer, your participation in this questionnaire is greatly appreciated.

INSTRUCTIONS

To complete this questionnaire, the contractor should:

1. Complete the CONTRACT DATA section on Page 2.

To complete this questionnaire, the reviewer should:

1. Review the CONTRACT DATA section on Page 2.

2. Review and complete the ADMINISTRATIVE INFORMATION section on Page 2.

3. Complete the RATINGS section starting on Page 2 by evaluating and assigning a rating for quality of product or service, schedule, cost control, business relations, management of key personnel, utilization of small business, and customer satisfaction. Include a narrative for each rating if appropriate.

4. Return the questionnaire to the U.S. EPA via email to Sharyn Erickson at Erickson.Sharon@epa.gov by DATE.

QUESTIONS

If you have any questions about completing or submitting this questionnaire, please contact the Contract Specialist for this acquisition, Sharyn Erickson, at Erickson.Sharyn@epa.gov.

CONTRACT DATA

Contract Number:

Contractor Name:

Contract Title:

Contractor Address:

Contract Value:

Contractor DUNS:

Contract Type:

Contract Award Date:

Agency/Org. Name:

Reporting Period (Start):

Contracting Office:

Reporting Period (End):

Task Order Number:

Task Order Value:

Task Order Title:

Task Order Award Date:

Reporting Period (Start):

Task Order Type:

Reporting Period (End):

ADMINISTRATIVE DATA

Reviewer:

Contracting Officer:

Phone:

Phone:

Fax:

Fax:

Email:

Email:

Contractor Rep:

Alt. Contractor Rep:

Phone:

Phone:

Fax:

Fax:

Email:

Email:

RATINGS

1. Quality of Product or Service. Assess the Contractor's conformance to contract requirements, specifications and standards of good workmanship (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

• For example: Are reports/data accurate? Does the product or service provided meet the specifications of the contract? Does the Contractor's work measure up to commonly accepted technical or professional standards?

Assess the degree of Government technical direction required to solve problems that arise during performance.

• For Operations Support: Assess how successfully the Contractor meets program quality objectives such as ability to produce, reliability, maintainability and ability to inspect. The Assessing Official must be flexible in how Contractor success is measured; e.g. using data from field reliability and maintainability and failure reports, user comments and acceptance rates, and scrap and rework rates. These quantitative indicators may be useful later, for example, in source selection evaluations, in demonstrating continuous improvement, quality and reliability leadership that reflects progress in total quality management. Assess the Contractor's control of the overall process to include material control, planning and control, and status.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

2. 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 effect the schedule variance).

This assessment of the Contractor's adherence to the required delivery schedule should include the Contractor's efforts during the assessment period that contributes to or effect the schedule variance. This element applies to contract closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract schedule and should therefore be noted in the evaluation.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

3. Cost Control (Not required for Firm Fixed Price or Firm Fixed Price with Economic Price Adjustment).

Assess the Contractor's effectiveness in forecasting, managing, and controlling contract cost.

• For example, does the Contractor keep within the total estimated cost (what is the relationship of the negotiated costs and budgeted costs to actuals)? Did the Contractor do anything innovative that resulted in cost savings?

Were billings current, accurate and complete? Are the Contractor's budgetary internal controls adequate?

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

4. Business Relations. Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor's history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts. Include, as applicable, information on the following:

• Is the contractor oriented toward the customer?

• Is interaction between the contractor and the government satisfactory or does it need improvement?

• Include the adequacy of the contractor's accounting, billing, and estimating systems and the contractor's management of Government Property (GFP) if a substantial amount of GFP has been provided to the contractor under the contract.

• Address the timeliness of awards to subcontractors and management of subcontractors, including subcontract costs. Consider efforts taken to ensure early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime contractor performance.

• Assess the prime contractor's effort devoted to managing subcontracts and whether subcontractors were an integral part of the contractor's team.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

5. Management of Key Personnel (For Services and Information Technology Business Sectors only - Not Applicable to Operations Support).

Assess the Contractor's performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

• For example, how well did the Contractor match the qualifications of the key position, as described in the contract, with the person who filled the key position? Did the Contractor support key personnel so they were able to work effectively? If a key person did not perform well, what action was taken by the Contractor to correct this? If a replacement of a key person was necessary, did the replacement meet or exceed the qualifications of the position as described in the contract schedule?

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

6. Customer Satisfaction

Was the contractor committed to customer satisfaction?

Yes

No

Would you recommend the selection of this firm again?

Yes

No

Provide comments on Customer Satisfaction (2000 characters maximum)