Attachment 2 Past Performance Questionnaire.pdf

CONTRACT PERFORMANCE QUESTIONNAIRE

SOLICITATION:

GENERAL INFORMATION

Customer Name (Name of Company or Organization)

Name of Person Interviewed / Completing Questionnaire Phone Number

Name of Contractor Contract Number

Period of Performance Contract Quantity Purchase Program Place of Performance

Brief Description of work/supplies/services furnished to Customer

PLEASE: VERIFY/CONFIRM/CORRECT THE BELOW INFORMATION.

Customer Name (Name of Company or Organization)

Name of Customer (POC)

Organization & Complete Mailing Address of POC:

POC – Phone Number

POC – E-Mail

NOTE: PLEASE RETURN THIS FORM WITH THE COMPLETED QUESTIONNAIRE.

THANK YOU.

CONTRACT PERFORMANCE INFORMATION

Quality of Product and Service: Contractor’s compliance with contract requirements, specifications, and standards of good workmanship.

Questions: Response:

1. Did the contractor comply with contract requirements, terms and conditions, etc.

Always

Sometimes

Never

a. If not, briefly explain the nature of the contractor’s noncompliance.

b. Did the noncompliance result in any delay in your operations?

Additional Comments:

No delay/disruption in operations.

Some delay/disruption in operations.

Delays prohibited operations.

2. Based on your experience with the Contractor, are you confident that the Contractor can be relied upon to comply with the terms and conditions of the contract?

Please state your reasons:

Yes

Possibly

No

3. How would you characterize any requests for waivers, changes or deviations from the contract requirements, terms or conditions submitted by the Contractor?

Well substantiated

Somewhat substantiated

Not substantiated

Schedule: The extent to which the contractor demonstrated its ability to meet contract delivery schedules, respond to administrative issues in a timely manner, and complete the contract.

Questions: Response:

4. During the course of the contract, did any deliveries fail to meet the required delivery date?

Please provide examples:

None

There were instances, but nothing significant.

Almost all deliveries were late or did not happen at all resulting in very significant delays or prohibited operations.

5. When emergency or non-routine situations or problems arose, how effective was the Contractor’s response to your situation?

More than adequate

Somewhat adequate

Inadequate

6. How often did the contractor request extension of contract schedules or delivery dates?

Please provide examples if often or more:

Seldom, if ever

Occasionally

On almost every occasion

Business Relations: the contractor’s demonstrated commitment to maintaining an acceptable level of performance and customer satisfaction.

Questions: Response:

7. During the course of the contract, how would you rate the contractor’s overall level of performance and commitment to customer satisfaction?

Additional Comments:

Exceptional

Satisfactory

Unsatisfactory

a. If the contractor’s performance or commitment to customer satisfaction was rated poor, please provide additional comments or clarification as to why the contractor’s performance or commitment to customer satisfaction was not considered Exceptional.

8. Was the Contractor flexible and willing to work through unusual situations and exhibit effective communication with your organization to achieve a good result?

Contractor went above and beyond to effectively communicate and provide flexibility for whatever situations arose.

Contractor exhibited sufficient flexiblility and o communication to work through issues.

Contractor exhibited insufficient flexibility and communicated very rarely or not at all.

9. Would you recommend the Contractor to others? If your answer is No or Don’t know, please indicate why.

Please provide examples for your answer:

Yes

Don’t Know

No

10. Can you identify other companies or organizations who might have past performance information about the Contractor?

a.

b.

c.