Attachment 5: Past Performance Questionnaire

NRLINST 4200.15

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: The Naval Research Laboratory (NRL) requests that you complete this questionnaire and provide your feedback to assist with establishing the performance history for the Contractor identified below. In an effort to expedite receipt of the requested information, please do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to:
no later than
Eastern Standard Time, on

I. CONTRACTOR IDENTIFICATION

1. CONTRACTOR NAME

2. SUBCONTRACTOR/CONSULTANT TO

3. CONTRACT NUMBER

4. CONTRACT TYPE

5. PERIOD OF PERFORMANCE

6. INITIAL CONTRACT COST/PRICE

7. CURRENT CONTRACT COST/PRICE

8. DESCRIPTION OF EFFORT (Use additional sheets as needed)

II. RATINGS

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government's benefit. The 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 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 element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL

Performance barely meets some of the contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

UNSATISFACTORY

Performance does not meet contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.

III. PERFORMANCE ASSESSMENT

A. TECHNICAL PERFORMANCE: What is your OVERALL assessment of the Contractor's ability to meet the technical requirements?

EXCEPTIONAL

VERY GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

N/A

UNSATISFACTORY

N/A

TECHNICAL PERFORMANCE

COMMENTS (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY) (Use additional sheets as needed)

PRODUCT ASSURANCE - Assess the Contractor's technical performance in the following areas:

EXCEPTIONAL

VERY GOOD

SATISFACTORY

MARGINAL

DESIGN

FABRICATION

INTEGRATION

SOFTWARE DEVELOPMENT

TESTING

TRAINING

DOCUMENTATION

COMMENTS (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY) (Use additional sheets as needed)