Attachment 6- Past Performance Questionnaire- Amendment 3.docx
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- Solicitation number
- W91RUS
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PAST PERFORMANCE QUESTIONNAIRE FOR SOLICITATION W91RUS-21-R-0001
Submit completed past performance questionnaire by 2:00 PM Eastern, XXXX to: Charles L. Friend, Contract Specialist charles.l.friend.civ@mail.mil and Jessica L. Fields, Contracting Officer jessica.l.fields.civ@mail.mil
The following questions pertain to the contractor’s record of past (within the past three years) and current performance. Please provide examples and/or explanations (use additional pages if necessary).
(1) Name of Contractor questionnaire is being completed for:
(2) Contract Number:
(3) Role Contractor played in Prior Contract
Prime
Joint Venture Team Member
Subcontractor
(4) Proposed Role in Pending Contract
Prime
Joint Venture Team Member
Subcontractor
(5) Award Date/Period of Performance:
(6) Contract type:
(7) Contract value:
(8) Description of service:
(9) Is Performance on this contract being reported in CPARS
No, complete page 2 of questionnaire
Yes, answer question (i) below
(i) Has the scope of work significantly changed since the last CPAR?
No
Yes, provide details in (iv) below
(ii) Have there been any significant changes in contractor performance between the last CPAR and now?
No
Yes, answer question (iii) below
(iii) Has an out-of-cycle CPAR been initiated to document changes in performance?
No, provide details of changes in (iv) below
Yes
(iv) Comments to support answers to questions (i), (ii) and (iii):
(10) Name of agency/company completing questionnaire:
(11) Name of person completing questionnaire:
(12) Email address of person completing questionnaire:
(13) Title of person completing questionnaire:
(14) Phone number of person completing questionnaire:
(15) Date questionnaire is being completed:
RATING SCALE: Please use the following ratings to answer the questions on page 2.
| Rating |
| Definition |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Neutral |
| No record exists. |
| N/A |
| (Not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation |
NOTE: For statements indicating “Exceptional”, Marginal, and “Unsatisfactory”, please provide a brief explanation in the comments section of the survey.
| CONTRACTOR PAST PERFORMANCE EVALUATION SURVEY FOR SERVICES |
| N/A |
| Neutral |
| Unsatisfactory |
| Marginal |
| Satisfactory |
| Very Good |
| Exceptional |
a.) QUALITY OF SERVICE:
(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship.
(2) The Contractor submitted accurate reports.
(3) The Contractor utilized personnel that were appropriate to the effort performed.
b.) COST CONTROL:
(1) The Contractor performed the effort within the estimated cost/price.
(2) The Contractor submitted accurate invoices on a timely basis.
(3) The Contractor demonstrated cost efficiencies in performing the required effort.
(4) The actual costs/rates realized closely reflected the negotiated costs/rates.
c.) SCHEDULE:
(1) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.
(2) The Contractor was responsive to technical and/or contractual direction.
d.) BUSINESS RELATIONSHIPS:
(1) The Contractor demonstrated effective management over the effort performed.
(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC) were apprised of technical, cost, and schedule issues.
(3) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.
(4) The Contractor promptly notified the COR, TPOC, and/or Contracting Officer in a timely manner regarding urgent issues.
(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.
(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.
(7) The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.
e.) MANAGEMENT OF KEY PERSONNEL:
(1) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.
(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.
f.) CUSTOMER SATISFACTION:
(1) The services provided adequately met the needs of the program.
(2) The Contractor was able to perform with minimal or no direction from the COR or the TPOC.
(3) I am satisfied with the performance of the Contractor under this effort.
COMMENTS:
File details come from the government source that posted it. Updated .