J1_PastPerfQuestionnaire.pdf

RFP W911QY-

PERFORMANCE RISK EVALUATION FORM SECTION 1

Section 1, Contract Identification, is to be completed by the Offeror. The Government/Industry Evaluator Point of Contact (POC) will complete the Performance Risk Evaluation, Section 2.

Specific instructions for completing Section 1 are as follows

A. Contractor - The name of the offeror/entity being evaluated.

B. Contract Number - Identify the Prime contract number or the Subcontract Number, as applicable

C. Contract Type - Identify the Prime or Subcontract type, as appropriate (i.e., Firm Fixed Price, Cost Reimbursement, Cost-Plus-Fixed-Fee, Cost-Plus-Award-Fee, Time and Materials, etc.)

D. Period of Performance - Self-explanatory

E. Initial Contract Value - Self-explanatory

F. Current Contract Value - Provide the current value for an ongoing contract, or the final value for a completed contract

G. Technical and Contractual POC - Identify the technical and contractual POC of the evaluating organization.

H. Self-explanatory

I. Self-explanatory

J. Self-explanatory

K. Self-explanatory

L. Self-explanatory

PERFORMANCE RISK QUESTIONNAIRE SECTION 1

1. CONTRACT IDENTIFICATION

a.

Contractor b.

Contract Number

c. Contract type

Competitive Yes No

Follow-on Yes No

d. Period of performance from: to:

Estimated cost or Firm fixed price

Fee Total Value

e. Initial contract value

f. Current contract value

(Explain any difference between the initial and current/final contract value: change in SOW, schedule extension, cost growth, overrun, etc.)

g. Technical and Contractual POC (name/address/phone/email address)

h. Type and extent of subcontracting

ATTACHMENT 8b

i. Product description and/or service provided

j. Number of organizations/locations serviced by this contract

k. Has this contract been partially or completely terminated for default or convenience?

Yes No Default Convenience

If yes, explain (e.g., inability to meet cost, performance, or delivery schedules).

l. Are there any pending terminations?

Yes No

If yes, explain and indicate the status.

PERFORMANCE RISK EVALUATION FORM SECTION 2

(To be filled out by the Evaluating Organization)

2. Evaluation

#1. How effective has the contractor been in satisfying customer requirements?

Extremely effective 4

Highly effective 3

Adequately effective 2

Ineffective 1

Comment:

#2. To what extent does/did the contractor provide timely technical assistance, both on-site and off-site?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

Met minimum requirements 2

Less than minimum requirements 1

Comment

#3. To what extent does/did the contractor demonstrate initiative to identify and solve technical problems without direction?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#4. To what extent does/did the contractor demonstrate innovation in technical problem or delivery problem resolution?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#5. How qualified are/were contractor personnel (technical)?

Extremely qualified 4

Highly qualified 3

Adequately qualified 2

Technically deficient 1

#6. To what extend does/did the contractor adhere to contract/task order delivery schedules?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#7. To what extent does/did the contractor submit accurate required reports and documentation in a timely manner?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#8. Does/Did the contractor commit adequate resources, in a timely fashion, to the contract to meet the requirements (technical, management, and contractual) and to successfully solve problems?

Provided abundant resources 4

Provided sufficient resources 3

Provided adequate resources 2

Provided insufficient resources 1

#9. To what extent does/did the contractor respond positively and promptly to technical directions, contract change orders, etc.?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#10. To what extent is/was the contractor effective in interfacing with requiring organization and other contractor personnel?

Extremely effective 4

Highly effective 3

Adequately effective 2

Ineffective 1

#11. To what extent does/did the contractor coordinate, integrate, and provide for effective subcontractor management?

Considerably surpassed minimum requirements 4

Generally exceeded minimum requirements 3

#12. How qualified are/were contractor personnel (management)?

Extremely qualified 4

Highly qualified 3

Deficient 1

#13. How well did the contractor proactively manage cost/schedule/performance and risks?

Extremely qualified 4

Highly qualified 3

Deficient 1

#14. Were Contractor personnel easy to contact (phone, e-mail) and did they respond quickly?

Yes

No

#15. Identify the contractor’s overall strengths and weaknesses.

#16. Would you select this firm again? Yes No

Please explain.

NARRATIVE SUMMARY

Use this section to explain additional information not included above.

EVALUATED BY

A. Organization:

B. Name and Title:

Signature: Date:

Please use this space to expand on any response that does not fit in the available space.