ATTACHMENT_4_-_PAST_PERFORM_QUESTIONNAIRE.doc

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PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION: TIRMS-13-R-00002

AMENDMENT NO. 00006

ATTACHMENT 4

CONTRACTOR: ____________________________________________________________

Reference Point of Contact: ____________________________________________________

Company:___________________________________________________________________

Title: _________________________________Telephone No: _________________________

E-mail Address: __________________________ Fax No: ____________________________

Contract No: ______________________ Date of Award: _____________________________

Contract Award Amount: ____________________ Type of Contract: ____________________ Subjective Technical Scoring:

EXCEPTIONAL: Excellent in all respects; offers one or more significant advantages not offset by disadvantages; significantly, exceeds performance or capability standards; very good probability of success with overall very low degree of risk in meeting the Government’s requirements. No deficiencies. No weaknesses.

ACCEPTABLE: Adequate quality, demonstrates good understanding of requirement and approach that meets performance or capability standards; performance areas assessed contained minor issues or concerns; moderate degree of risk in meeting the Government’s requirements. Good probability of success; weaknesses can be readily and easily corrected.

MARGINAL: Overall quality cannot be determined due to errors; omissions or deficiencies; only marginally meets performance or capability standards necessary for minimal performance; significant deficiencies, but correctable; high degree of risk in successfully meeting the Government’s requirements.

UNACCEPTABLE: Proposal contains major errors; omissions or deficiencies; fails to meet performance or capability standards; an unacceptably high degree of risk in meeting the Government’s requirements. Fails to minimally satisfy the evaluation criteria; not correctable without a major revision to the proposal.

Questions:

1. Quality of Services: Compliance with contract requirements, conformance to standards of good workmanship and technical excellence:

Rating:

Rationale for Rating:

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION: TIRMS-13-R-00002

AMENDMENT NO. 00006

ATTACHMENT 4

2. Timeliness of Performance: adherence to contract schedules.

Rating:

Rationale for Rating:

3. Business practices: response to Government’s inquiries and technical/service/administrative issues. Offeror was reasonable and cooperative during performance.

Rating:

Rationale for Rating:

4. Has the contractor been given any of the following: Cure notice, show cause, letters or reprimand, suspension of payments, termination? If yes, explain:

____Yes __ No

5. Would you award another contract to this contractor? If no, provide reasons for not recommending this contractor for additional work.

____Yes _____No

6. Has the contractor been provided an opportunity to discuss any negative performance ratings? If so, what were the results?

____Yes ____No

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION: TIRMS-13-R-00002

AMENDMENT NO. 00006

ATTACHMENT 4

7. Provide any additional comments: