ATTACHMENT_III_PAST_PERFORMANCE_QUESTIONNAIRE.pdf

SPE600-16-R-0502

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

01. Contractor’s responsiveness/timeliness in providing the required services. 1 2 3 4 5 N/A

02. Contractor’s responsiveness/timeliness to administrative functions of the contract. 1 2 3 4 5 N/A

03. Contractor’s responsiveness/timeliness in responding to questions or correspondence. 1 2 3 4 5 N/A

04. Contractor’s compliance with contract terms and conditions. 1 2 3 4 5 N/A

05. Were any contract concessions/changes/ terminations made due to the contractor’s failure to accurately plan? YES NO N/A

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

MANAGEMENT OF KEY PERSONNEL

06. Contractor’s preparation & training of personnel. 1 2 3 4 5 N/A

07. Contractor’s ability to effectively manage subordinates. 1 2 3 4 5 N/A

QUALITY OF SERVICES

08. Contractor’s ability to assimilate & accommodate changes in contractual requirements and/or priority. 1 2 3 4 5 N/A

09. Contractor’s exhibited knowledge of and compliance with Government (or other) regulations. 1 2 3 4 5 N/A

10. Contractor’s demonstration of technical expertise in providing all contractual services 1 2 3 4 5 N/A

11. Contractor possession/utilization of tools/ equipment necessary for adequately providing the required services. 1 2 3 4 5 N/A

12. Contractor’s accomplishment in meeting the Quality standards specified for:

(a) Technical Performance 1 2 3 4 5 N/A

(b) Administrative Performance 1 2 3 4 5 N/A (c ) Safety & Health 1 2 3 4 5 N/A

QUALITY OF SERVICES (CONT’D)

13. Has the Contractor ever failed to effectively control the quality of services provided?

(if “yes”, please explain in “Remarks” section) YES NO

14. Has a Contract Discrepancy Report (or equivalent) ever been issued?

(if “yes”, please explain in “Remarks” section) YES NO N/A

15. Has a Cure Notice or Show Cause Letter ever been issued?

(if “yes”, please explain in “Remarks” section and state quantity of each issue) YES NO N/A

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

17. Has the Contractor demonstrated the ability to correct any of the problems referenced above?

(if “no”, please explain in “Remarks” section) YES NO N/A

18. Has the contract been terminated for default?

(if “yes”, please explain in “Remarks” section) YES NO N/A

19. Has an election ever been made to not exercise an option due to the Contractor’s poor performance?

(if “yes”, please explain in “Remarks” section) YES NO N/A

BUSINESS RELATIONS

20. Contractor’s management of subcontracts. 1 2 3 4 5 N/A

21. Have there been any labor disputes?

(if “yes”, please explain in “Remarks” section) YES NO N/A

22. Have there been any violations of Public Law, especially the Service Contract Act?

(if “yes”, please explain in “Remarks” section) YES NO N/A

23. Contractor’s ability/willingness to consistently provide prompt and courteous service. 1 2 3 4 5 N/A

24. Contractor’s ability/willingness to promptly and courteously resolve customer complaints. 1 2 3 4 5 N/A

25. Contractor’s overall commitment to customer satisfaction. 1 2 3 4 5 N/A

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

BUSINESS RELATIONS (CONT’D)

27. How would you rate the integration and coordination of all activity needed to perform this contract? 1 2 3 4 5 N/A

28. How would you rate the Contractor’ overall performance? 1 2 3 4 5 N/A

29. Would you award similar contracts to this Contractor?

(if “no”, please explain in “Remarks” section) YES NO

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