ATTACH_05_Past_Performance_Questionnarie_form.pdf

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION: TIRMS-17-R-00010

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:

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:

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.

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.

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

7. Provide any additional comments:

Date: