Attachment_3_Past_Performance_Questionaire.docx
DOCX document 18 KB Posted
- Attached to
- Maid Services/Front Desk Services Federal contract opportunity
- Solicitation number
- W912L7-17-R-0004
About this file
Revised/Editable Performance Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W912L7-17-R-0004_Amendment_3.pdf | ||
| W912L7-17-R-0004_Amendment_2.pdf | ||
| W912L7-17-R-0004_Amendment_1.pdf | ||
| Technical_Exhibit_4_Equipment_Inventory_-_Revised.pdf | ||
| Maid_Service_Site_Visit_Slides.pdf | ||
| Site_Visit_Signin_sheet.pdf | ||
| Preproposal_minutes_22_Mar_2017.pdf | ||
| Technical Exhibit 1 Performance Requirement Summary.pdf | ||
| Attachment 3 Past Performance Questionaire.pdf | ||
| Technical Exhibit 3 Estimated Workload Data.pdf | ||
| Attachment 1 PWS.pdf | ||
| Technical Exhibit 2 Deliverables Schedule.pdf | ||
| Technical Exhibit 4 Equipment Inventory.pdf | ||
| Attachment 2 Wage Determination.pdf | ||
| W912L7-17-R-0004.pdf | ||
| Technical Exhibit 5 Quality Assurance Plan.pdf |
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Text version
SAMPLE TRANSMITTAL LETTER AND
PAST PERFORMANCE EVALUATION QUESTIONNAIRE
26 January 2017
Your Company Letterhead
Date: _________________ To: ______________________________________
We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the 134TH Air Refueling Wing Contracting Office. In accordance with Federal Acquisition Regulations, they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.
Please send your completed questionnaire to the following email address to arrive NOT LATER THAN 30 March 2017. Do not return them to our company.
Richard.m.lusby.mil@mail.mil
If you have questions regarding the attached questionnaire, or require assistance, please contact CMSgt Richard Lusby, 865-336-3353, richard.m.lusby.mil@mail.mil. Thank you for your assistance. E-Mail is preferred.
Signature and Title
SOURCE SELECTION SENSITIVE WHEN COMPLETED*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS***** RETURN THIS PAGE WITH QUESTIONNAIRE
RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.
| RATING |
| DEFINITION |
| Outstanding O) |
| Proposal indicates an exceptional approach and understanding of the requirements and contains multiple strengths, and risk of unsuccessful performance is low. Proposal may contain weakness(es) which have little potential to cause disruption of schedule or degradation of performance. Normal contractor effort and normal Government monitoring will likely be able to overcome any difficulties. |
| Good (G) |
| Proposal indicates a thorough approach and understanding of the requirements and contains at least one strength, and risk of unsuccessful performance is low to moderate. Proposal may contain weakness(es) which have little potential to cause disruption of schedule or degradation of performance and normal contractor effort and normal Government monitoring will likely be able to overcome any difficulties, or the proposal contains a significant weakness or combination of weaknesses which may potentially cause disruption of schedule or degradation of performance and special contractor emphasis and close Government monitoring will likely be able to overcome difficulties. |
| Acceptable (A) |
| Proposal meets requirements and indicates an adequate approach and understanding of the requirements, and risk of unsuccessful performance is no worse than moderate. Proposal contains a significant weakness or combination of weaknesses which may potentially cause disruption of schedule or degradation of performance. Special contractor emphasis and close Government monitoring will likely be able to overcome difficulties. |
| Marginal (M) |
| Proposal has not demonstrated an adequate approach and understanding of the requirements, and/or risk of unsuccessful performance is high. Proposal contains a significant weakness or combination of weaknesses which is likely to cause significant disruption of schedule or degradation of performance. Is unlikely to overcome any difficulties, even with special contractor emphasis and close Government monitoring. |
| Unacceptable (U) |
| Proposal does not meet requirements of the solicitation, and thus, contains one or more deficiencies, and/or risk of unsuccessful performance is unacceptable. Proposal contains a material failure or a combination of significant weaknesses that increases the risk of unsuccessful performance to an unacceptable level. |
RESPONDENT IDENTIFICATION AND RATINGS
(Part 1 Contractor submitting Proposal fill-in) Reference is provided for:
Contract Number:
Project Title:
Date of Award:
Project Completion Date:
Project Location:
| Dollar Value: |
| $ |
Brief Description of Proj:
Your role in referenced contract:
(Part 2 Person providing Reference) Reference is provided by:
Company/Agency:
Business Address:
Telephone Number:
Email Address:
Project Completion Date:
Relationship to Contract:
If information in Part I is not accurate please indicate.
To obtain an electronic version of the form please contact: CMSgt Richard Lusby, 865-336-3353, richard.m.lusby.mil@mail.mil
THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Return via email to the email address shown above.
Mark subject line: (Attention: RFP W912L7-17-R-0004 “Source Selection Sensitive Information”)
Please provide evaluation of the following Performance Elements by placing an X in the appropriate column that corresponds to the rating descriptions on the previous page.
COMPLIANCE WITH CONTRACT REQUIREMENTS
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Not Applicable |
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Quality of Service
Adequacy of Contractors Quality Control Plan
Identification/Correction of deficient work in a timely manner
Suggestion of solutions
Display of Initiative to implement solutions
Comments on Compliance with Contract Requirements:
EFFECTIVENESS OF PROJECT MANAGEMENT
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Contractor provided experienced managers and supervisors
Met Contract Requirements
Hired Experienced subconractors
Timley payment of employees/subcontractors/suppliers
Accuracy of proposals for modifications; Pricing was complete and reasonable; Provided Substantiating data
Site Manager ensured compliance with contract requirements & safety regulations
Site Manager acted promptly to resolve problems and ensure work quality
Site Manager has sufficient authority to makde decisions or take actios during performance
Site Manager consistently present on site when work was performed
Comments on Effectiveness of Project Management:
TIMELINESS OF PERFORMANCE
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Was established schedule met
Resolution of delays in an expeditious manner
Identification/correction of deficient work in a timely manner
Comments on Timeliness of Performance:
COMMITMENT TO CUSTOMER SATISFACTION
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Cooperation to resolve problems
Attendance of meetings
Maintain communication to assure satisfactory resolution
Overall customer satisfaction and willingness to foster a spirit of partnership with owner
Comments on Commitment to Customer Satisfaction:
Please provide any additional information you feel is important and not covered elsewhere in this evaluation:
Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.
OFFEROR NAME___________________________
Respondent Signature ______________________________ Date Completed:______________________
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