ATTACHMENT_III_PAST_PERFORMANCE_QUESTIONNAIRE.docx

SPE600-16-R-0501

ATTACHMENT III

PAST PERFORMANCE QUESTIONNAIRE

GENERAL GUIDANCE FOR COMPLETING SURVEYS

A. The survey should be completed by the individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of service being rendered. However, that individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.

B. Handwritten responses are sufficient. However, request they be legible.

C. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included after each question and on the last page of the survey. If more space is needed, use the back of the survey or attach additional pages.

D. As the survey relates to an ongoing source selection for the services identified in the cover letter, request that all information provided within the survey be safeguarded against unauthorized disclosure.

E. The following description should be used as a guide in providing element ratings:

5 = EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 = VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 = SATISFACTORY

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 = MARGINAL

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

1 = UNSATISFACTORY

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

Please add any information below which may not be entered and correct any information which is inaccurate.

NAME OF RESPONDENT: TELEPHONE:

TITLE: ORGANIZATION:

CONTRACTOR: CONTRACT:

POINT OF CONTACT: TELEPHONE:

TITLE:

SERVICE DESCRIPTION:

AWARD AMOUNT: $ PRESENT AMOUNT: $

CONTRACT TYPE: CONTRACT PERIOD:

PERFORMANCE INFORMATION

The following questions are two (2) types: YES/NO and RATING. The YES/NO questions should be supplemented with an explanatory narrative if the answer is “YES”. When responding to the RATING type questions, choose the number on the scale of 1 to 5, which most accurately describes the Contractor’s performance or situation. If the question is not applicable, circle “N/A”. Responses to the RATING type questions should be supplemented with explanatory narrative as well, if necessary. The numbers 1 to 5 correspond with the following values:

1 = Unsatisfactory 2 = Marginal 3 = Satisfactory 4 = Very Good 5 = Exceptional

SCHEDULE

03. Contractor’s responsiveness/timeliness in

05. Were any contract concessions/changes/

1 = Unsatisfactory 2 = Marginal 3 = Satisfactory 4 = Very Good 5 = Exceptional

MANAGEMENT OF KEY PERSONNEL

07. Contractor’s ability to effectively manage

QUALITY OF SERVICES

1 = Unsatisfactory 2 = Marginal 3 = Satisfactory 4 = Very Good 5 = Exceptional

QUALITY OF SERVICES (CONT’D)

16. Have there been any disputes/claims relative to the contract? YES NO N/A (if “yes”, please explain in “Remarks” section)

1 = Unsatisfactory 2 = Marginal 3 = Satisfactory 4 = Very Good 5 = Exceptional

BUSINESS RELATIONS

21. Have there been any labor disputes?

26. Contractor’s overall cooperation relative to this 1 2 3 4 5 N/A contract.

1 = Unsatisfactory 2 = Marginal 3 = Satisfactory 4 = Very Good 5 = Exceptional

BUSINESS RELATIONS (CONT’D)

27. How would you rate the integration and coordination of all activity needed to perform

29. Would you award similar contracts to this

REMARKS:

Please address all areas of concern, as well as any strengths or weaknesses you’d like to highlight.

Please list other known references regarding the Contractor’s performance:

NAME E-MAIL ADDRESS TELEPHONE NUMBERS