Attachment_2_Performance_Risk_Assessment_Questionnaire.doc

W911QY-16-R-0032

Attachment 2 Performance Risk Assessment Questionnaire

A. Contract Identification

Contractor:

Address:

Program Title:

Contract Number:

Contract Type:

Prime Contractor Name:

Contract Award Date:

Forecasted or Actual Contract Completion Date:

B. Identification of Offeror’s Representative Name:

Title:

Telephone Number:

Fax Number:

E-mail Address:

Evaluation: (To be completed by Point of Contact – Respondent)

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship.

___ Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

___ Meets Contractual Requirements

___Failed to meet Contractual Requirements (Explanation must be provided in Comments field below) Comments:

B. Effectiveness of Project Management (to include use and control of subcontractors).

___ Exceptional (Explanation must be provided in Comments field below)

___ Satisfactory

___ Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables, including the Administrative Aspects of Performance.

___ Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

___ Meets Contractual Requirements

___Failed to meet Contractual Requirements (Explanation must be provided in Comments field below) Comments:

D. Effectiveness in Forecasting and Controlling Project Cost.

___ Exceptional (Explanation must be provided in Comments field below)

___ Satisfactory

___ Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Business-like Concern for its Customer’s Interest.

___ Exceptional (Explanation must be provided in Comments field below)

___ Satisfactory

___ Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

F. Overall Satisfaction.

___ Extremely Satisfactory (Explanation must be provided in Comments field below) ___ Satisfactory

___Unsatisfactory (Explanation must be provided in Comments field below) Comments:

G. General Comments. Please provided other relevant performance information.

H. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

I. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address:

Please return this completed Questionnaire via e-mail to Joseph.W.Mahoney.civ@mail.mil and Michael.W.Vincent.civ@mail.mil If you have any questions about this Questionnaire, please contact Joseph Mahoney at 508-233-6126.