Attachment_6_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE INFORMATION

R9 Rev 5/12/2015

Attachment 6 Name of Offeror:

Client/Contract Information (supplied by offeror)

Name of Client: Contract Number:

Contract Title: Contract Value:

Type of Contract: Period of Performance:

The Client, NOT the offeror, shall provide one rating for each applicable Performance Element below. Remarks are requested for ratings other than Satisfactory. The rating scale is defined on page 2 and is consistent with the Federal Government Contractor Performance Assessment Reporting System (CPARS).

Ratings: Exceptional (E), Very Good (VG) Satisfactory (Sat), Marginal (M), and Unsatisfactory (U)

Performance Elements Rating

Performance Remarks Remarks may be provided on a separate document.

Quality (Conformance with contract requirements, specifications, and industry workmanship and standards.)

Schedule (Timeliness of completion.)

Cost Control (Forecasting, managing, controlling costs.)

Management (Integration, coordination and management of all activities essential to contract execution.)

Utilization of Small Business

(Compliance with contract terms, achievement of subcontracting goals, and good faith efforts.)

Regulatory Compliance

(Compliance with regulations and codes – financial, labor, environmental, safety, reporting, etc.)

Description of services provided:

Please identify any corporate affiliations with the offeror.

Would you do business with this Contractor again?

Questionnaire completed by:

Name:_____________________________________________ Title: __________________________________________ Date:_________

Email:______________________________________________

Phone:_____________________________________________

Mailing Address:

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE INFORMATION

R9 Rev 5/12/2015

Rating Definitions

Exceptional: Performance meets contractual requirements and exceeds many to the client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good: Performance meets contractual requirements and exceeds some to the client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory: Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal: Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.