W9123621R2012 Attachment 4.pdf

ATTACHMENT 4

TELEPHONE INTERVIEW QUESTIONNAIRE FORM

(To Be Used by the Government to Check References)

Contractor: Contract No.:

Subcontract No. (if applicable):

POC: Title:

(Name) (Title)

(Agency, Telephone No., Email & Facsimile No.)

If conducting a telephone interview:

“Hello, I am . I am calling in reference to Contract with a company called . My questions will pertain to the contractor’s record of past, which is defined as within the past five years, and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. A summary of this discussion may be sent to you for your records. The following adjectival ratings shall be used in your response.

Outstanding: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective

DATA QUESTIONS

Contract Type: Period of Performance: .

(i.e., FFP, Cost Plus, etc.)

Total Contract Amount:

Nature and extent of the effort (i.e. scope of the effort performed by the contractor, type of tasks involved, and types of personnel (skills/expertise) utilized):

PERFORMANCE QUESTIONS

A. How was the contractor’s performance in terms of overall technical quality? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

B. How was the contractor’s performance in terms of its responsiveness to changes in technical direction? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

C. How was the contractor’s performance in terms of effectiveness/thoroughness in planning his operations? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

D. How was the contractor’s performance in terms of obtaining and retaining well qualified managers and craftsman? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

E. How was the contractor’s performance in terms of ensuring his subcontractors provided adequate staffing? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

F. How was the contractor’s performance in terms of meeting milestones/schedules and reporting requirements and its responsiveness to changing schedules and priorities? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

G. How was the contractor’s performance in regard to financial/cost management and reporting? (Outstanding, Good, Acceptable, Marginal, Unacceptable):

H. Were there any cost overruns incurred under the contract? (Yes/No)

1. If Yes, were the overruns due to the fault of the contractor? (Yes/No)

2. If Yes, what was the magnitude (% of increase) and cause of the overrun(s)?

I. When Contractor encountered problems, did he provide recommended solutions for them? (Yes/No):

J: Would you choose to work with the contractor again if given the opportunity? (Yes/No):

K. Did the contractor’s quality control organization find and correct most deficiencies? (Yes/No):

L. With respect to the contractor’s performance under this contract, are there any additional comments you wish to make that were not addressed above?

Name of SSEB Member conducting the interview: