Attachment 3: Past Performance Questionnaire

Past Performance Questionnaire
Please complete the following questionnaire in regards to the referenced contract:

Contract #:
Contractor:
Period of Performance
Being Assessed:
Evaluation
Indicate the contractor’s past performance for each category area by identifying with an “x” for the most appropriate rating according to the scale shown below. Provide rationale, including specific examples, as appropriate, to support your ratings in the space provided for comments for each category area. All positive and negative ratings must be supported by factual data with the dates positive or negative performance occurred. Also, supporting documentation must be made available upon request. If more space is needed, continue your comments in the “Additional Comments” section at the end of this questionnaire. It is important that the information be as factual, accurate, and complete as possible to preclude the need for follow-up by the evaluators. If there is an area that you do not have detailed knowledge then you may consult with someone in your organization that does. Use Table 1 and Table 2, along with the guidance below to answer the questions that follow.
Consider the criteria for each category area in Table 1 in the assessment.

Rating
Quality
Schedule
Cost Control

Management

Utilization of
Small Business

Regulatory
Compliance

TABLE-1 CATEGORY AREAS

Description
Assessment based on the contractor’s conformance to contract/order requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards). Assessment based on the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance). Assessment based on the contractor’s effectiveness in forecasting, managing, and controlling contract/order cost. ***If contract is/was Firm-Fixed Price or Firm-Fixed Price with Economic Price Adjustment, please mark “Not Rated”*** Assessment based on the integration and coordination of all activity by the contractor needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and