j20_ppsurvey.docx

Attachment J20 RFP#: W9124P-14-R-XXXX

W9124P-14-R-XXXX

PAST PERFORMANCE QUESTIONNAIRE

I. Background

The purpose of this questionnaire is to obtain past performance information relative to contracts awarded in the past three years which are of similar scope, magnitude, and complexity to our current requirement. This company is a potential source for performing a Firm Fixed Priced contract. Your assistance in evaluating the contractor’s past performance is deeply appreciated.

II. Instructions

Please complete the questionnaire based on the following guidance:

Responses may be typed or hand written. Indicate based on the description below, the contractor’s performance on the identified program in the assessment area. The following is a definition of the scoring levels:

Please provide comments for all questions in which a “Satisfactory”, “Marginal”, or “Unsatisfactory” rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.

Please email your completed questionnaire by DATE, no later than 2:00PM CST to:

Beverly Love E-mail: beverly.a.love11.civ@mail.mil Phone: 256-842-7514

Our goal is to select the best value to the Government. Your past performance evaluation is a factor in determining the best value. The following information will assist in the analysis of the data and will be kept confidential.

III. Contractor Identification:

Contractor Name: _____________________________________________

Contractor Address: ___________________________________________

Contract Number: ________________________________

Contract Description: __________________________________________

IV. Evaluator Information:

1. Company Name/Address:

2. Evaluator’s Name:

3. Title:

4. Phone Number:

5. E-mail Address:

V. Past Performance Evaluation (Check the box corresponding to your rating)

1. The Contractor provided effective Quality Control which resulted in quality performance of work.

E S M U N/A

Comments:

2. The Contractor hired quality Subcontractors and effectively managed multiple Subcontractors to support high task order volumes (100 or more).

3. The Contractor developed realistic project schedules and completed projects within established schedules.

4. The Contractor has performed the contract requirements at the original awarded price without sacrificing quality, cutting corners, or complaining about low profit margins.

5. The on-site Project Manager was given sufficient decision making authority and has been able to authorize solutions for any technical, management, or management support requirements that have been encountered.

6. The Contractor has paid Subcontractors timely and without labor violations or claims.

7. The Contractor has completed task orders requiring compressed project schedules on time and without adversely affecting other in-progress projects.

8. The Contractor has provided adequate information and pricing for change orders and has negotiated prices for change orders that were fair and reasonable.

9. The Contractor has provided timely and accurate progress schedules with invoices.

10. Deficiencies and punch-list items have been corrected in a timely manner.

11. The Contractor has been cooperative and reasonable in resolving disagreements/disputes.

12. The Contractor has identified problems and potential problems early into projects and suggested practical, cost effective solutions.

13. How would you rate the Contractor’s overall performance?

14. Would you enter into another contract with this Contractor?

Yes No image1.wmf