ATTACH_05_-_Past_Performance_Questionnarie_form.pdf

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION: TIRMS-17-R-00002

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:

ACCEPTABLE: satisfies contract criteria. Good probability of success; weaknesses can be readily and easily corrected.

UNACCEPTABLE: fails to minimally satisfy the contract criteria; significant deficiencies, not correctable without a major revision to the contract.

Questions:

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

Rating:

Rationale for Rating:

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? N/A ____Yes ____No

7. Provide any additional comments:

Date: __________________