Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE PROJECT IDENTIFICATION (To be filled out by the Offeror):

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Assessor):

NAME: Click here to enter text.

TITLE: Click here to enter text.

AGENCY or CUSTOMER: Click here to enter text.

PHONE: Click here to enter text.

E-MAIL Click here to enter text.

For each of the Six (6) criteria listed below, the rater must choose One (1) Adjectival Rating by checking the box, as applicable. At a minimum, for any rating that is checked Marginal or

Unsatisfactory, please submit additional comments to substantiate the rating. If Cost Control of

Utilization of Small Business is N/A, Please explain why. Assessor: Please submit completed form to darrin.j.nicholson.civ@mail.mil. In the subject line, please include “PP ‘Contractor Name’”.

1. QUALITY OF SERVICE

RATING Adjectival

Rating

Definition

Exceptional

Performance meets contractual requirements and exceeds many to the

Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Very Good

Performance meets contractual requirements and exceeds some to the

Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

CONTRACTOR NAME: Click here to enter text.

CONTRACT or ORDER NUMBER: Click here to enter text.

PROJECT TITLE: Click here to enter text.

TOTAL PERIOD OF PERFORMANCE,

INCLUDING OPTIONS

Click here to enter text.

mailto:darrin.j.nicholson.civ@mail.mil

Satisfactory

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the

Contractor appear or were satisfactory

Marginal

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS:

2. SCHEDULE

Government’s benefit. The element being assessed was accomplished with

Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective not likely in a timely manner. The element being assessed contains a

3. COST CONTROL

Government’s benefit. The element being assessed was accomplished with

Government’s benefit. The element being assessed was accomplished with not likely in a timely manner. The element being assessed contains a

Not

Applicable

4. BUSINESS RELATIONS

Government’s benefit. The element being assessed was accomplished with

Government’s benefit. The element being assessed was accomplished with not likely in a timely manner. The element being assessed contains a

5. MANAGEMENT OF KEY PERSONNEL

Government’s benefit. The element being assessed was accomplished with

Government’s benefit. The element being assessed was accomplished with not likely in a timely manner. The element being assessed contains a

6. UTILIZATION OF SMALL BUSINESS

Government’s benefit. The element being assessed was accomplished with

Government’s benefit. The element being assessed was accomplished with not likely in a timely manner. The element being assessed contains a

Not

Applicable