Attachment_1_-_Past_Performance_Questionnaire.doc

ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

FIRE PROTECTION SERVICES

FOR

DIRECTORATE OF PUBLIC WORKS (DPW), FORT HOOD, TEXAS

SOLICITATION: W91151-16-R-0013

Offeror Being Evaluated: _______________________ (To be completed by Offeror)

1. Fort Hood intends to procure Fire Protection Services for the Directorate of Public Works (DPW), Fort Hood, Texas. As part of the solicitation, the potential Offeror has been asked to distribute this questionnaire to a point-of-contact from their previous projects. You have been selected by the Offeror as the owner’s representative to provide an evaluation of their past performance.

2. Please answer all the questions. If a question does not apply, mark it N/A (Not Applicable). Please provide explanatory narratives for as many responses as possible. All “Exceptional” ratings must have an explanatory narrative. These narratives need not be lengthy, just detailed. Space for narrative comments is included with the questions. If more space is needed, use the back of the questionnaire or attach additional pages.

3. Submit the completed Past Performance Questionnaire not later than 3:00 P.M., CST, on 19 January 2017, via e-mail directly to ronin.walker.civ@mail.mil and thomas.r.williams60.civ@mail.mil.

4. This questionnaire shall not be returned to the offeror or their prospective subcontractor.

5. As this questionnaire relates to an ongoing source selection for the services identified, request that all information provided within the questionnaire be safeguarded against unauthorized disclosure.

6. We appreciate your time and effort in providing this important information.

Evaluator: ____________________________________ Telephone No.______________

Title: _______________________ Evaluator’s Firm Name and Address: ________________________________________________________________________

Email Address: ____________________________ Telephone No. _________________

Contract/Project No. ______________________ Contract Type: _________________

Description of Services Provided: ____________________________________________

Service Period: ______________________ Initial Contract Amount: $_____________ Current Contract Amount: $ _______________________

GENERAL: Please rate the services provided by the Contractor on the areas listed below including any explanation or additional comments.

PAST PERFORMANCE HISTORY

Quality of Services:

1. Overall, to what extent did the contractor meet specified quality standards?

( ) Unsatisfactory ( ) Marginal

( ) Neutral ( ) Satisfactory ( ) Very Good ( ) Exceptional Comments: _______________________________________________________________________

2. Contractor’s compliance with contractual terms and conditions?

( ) Very Good ( ) Exceptional Comments:

3. Contractor’s ability, efficiency, and effectiveness in assimilating and incorporating changes in contractual requirements and priority?

( ) Very Good ( ) Exceptional Comments:

4. Contractor’s responsiveness/timelines relative to administration functions of the contract?

( ) Very Good ( ) Exceptional Comments:

5. Contractor’s knowledge of and compliance with Governmental regulations and statues?

( ) Very Good ( ) Exceptional Comments:

Timeliness of Performance:

1. Was the contractor reliable?

( ) Very Good ( ) Exceptional Comments:

2. Contractor met established work schedules to complete all performance requirements, as scheduled and required by the contract?

( ) Very Good ( ) Exceptional Comments:

3. Contractor’s ability to provide accurate and timely administrative requirements and delivery schedules for the required reports and request for information by the Contracting Officer?

( ) Very Good ( ) Exceptional Comments:

4. Contractor’s ability to submit timely invoices and financial data to support scheduled payments?

( ) Very Good ( ) Exceptional Comments:

Management of Personnel:

1. Overall Management Performance?

( ) Very Good ( ) Exceptional Comments:

2. Ability to hire and maintain qualified personnel?

( ) Very Good ( ) Exceptional

3. Responsiveness to performance issues within the timeframes specified in the contract/statement of work?

( ) Very Good ( ) Exceptional Comments:

4. To what extent did the contractor cooperate in resolving problems?

( ) Very Good ( ) Exceptional Comments:

5. To what extent was the Contractor reasonable and cooperative?

( ) Very Good ( ) Exceptional Comments:

6. To what extend was the contractor flexible in responding to changing needs?

( ) Very Good ( ) Exceptional Comments:

Customer Satisfaction:

1. To what extent did the contractor respond to technical changes or suggestions?

( ) Very Good ( ) Exceptional Comments:

2. Were customer’s questions and concerns satisfactorily addressed in a timely manner?

( ) Very Good ( ) Exceptional Comments:

PAGE

PROCUREMENT SENSITIVE

SOURCE SELECTION INFORMATION

SEE FAR 3.104