Airports Authority RFP 1-16-C006, HRMS SaaS Solution

Past Performance Questionnaire: The past performance questionnaire must be independently completed by the offeror’s client references for each Past Performance Summary submitted with the offeror’s proposal. Offerors are responsible for ensuring that their client references complete this questionnaire and submit it via email directly to the Airports Authority at: with “Questionnaire for RFP 1-16-C006” in the subject line, NO LATER THAN September 29, 2015.

[INSERT AGENY/COMPANY NAME] PAST PERFORMANCE QUESTIONNAIRE
1. Contractor Name:
Role on Project: (Prime/Subcontractor): / 2. Contract Number:
3. Contractor Address: / 4. Contract Type:
____Firm Fixed Price
____T&M/LH
____Cost Reimbursement
____Other (Please Specify)______
5. Agency/Company Name: / 6. Agency/Company POC/Phone/Email:
7. Period of Performance: / 8. Dollar Amount at Award: $______
Annual Amount: $______
Total Dollar Value with Mods:$______
9. Title of Contract:
10. Description of Contract Service/Scope of Contract:
11. Complexity of Work: Difficult: ____ Moderate: ____ Routine: _____

NOTE: Please use adjectival ratings for A – C, from the attached instructions on pages 4 & 5.

12. Subject Area / 13. Comments (Attach additional sheets, if necessary.) / 14. Rating
A. Quality of Work / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS EXCEPTIONAL OR UNSATIFACTORY
B. Personnel – Knowledge, Skills and Abilities / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS EXCEPTIONAL OR UNSATIFACTORY
C. Cost/Budget Control / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS EXCEPTIONAL OR UNSATIFACTORY
NOTE: Please use numerical ratings scale 1 to 5 for D – G, from the attached instructions on pages 4 & 5.
D. Customer Satisfaction / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS “5” (highest) OR “1” (lowest) / (1 – 5)
E. Timeliness of Performance/ Deliverables / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS EXCEPTIONAL OR UNSATIFACTORY
F. Business Relations / PLEASE PROVIDE COMMENTS, PARTICULARLY IF RATING ASSIGNED IS EXCEPTIONAL OR UNSATIFACTORY
G. Overall Performance / PLEASE PROVIDE COMMENTS, PARTICULARLY IF ASSIGNED RATING IS EXCEPTIONAL OR UNSATISFACTORY
[INSERT Agency or Company name]
15. Would you select this contractor again? Please explain.
(Attach additional sheet if necessary.)
16. Name and title of individual who completed this questionnaire:
17. Date:

Past Performance Rating Guidelines

Summarize contractor performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.

Ratings / Quality of Work/
Personnel Capabilities
-Compliance w/contract requirements
-Accuracy of reports
-Appropriateness of personnel
-Technical excellence / Cost/Budget Control
-Within budget
-Current, accurate, complete billings
-Relationship of
negotiated costs to
actual
-Cost efficiencies
-Change orders issued / Customer Satisfaction
Customer Satisfaction is a measure of how products and services supplied by a company meet or surpass customer expectation.
On a scale of 1-5 (5 being the highest) please rate and describe your level of satisfaction with the contractor’s performance.
5 - Very satisfied
4 - Somewhat satisfied
3 - Neither satisfied nor dissatisfied
2 -Somewhat dissatisfied
1 - Very dissatisfied / Timeliness of Services/Deliverables
-Met interim milestones
-Reliable
-Responsive to technical direction
-Completed on time / Business Relations
-Effective management
-Business like correspondence
-Responsive to contract requirements
-Prompt notification of problems
-Reasonable/
cooperative
-Flexible
-Pro-active
Unsatisfactory / Nonconformance's
are comprising the achievement of contract requirements / Cost issues are comprising performance / Delays are compromising achievement of contract requirements / Response is not effective
Marginal / Nonconformance's require major agency resources to ensure achievement of contract requirements / Cost issues require major agency resources to ensure achievement of contract requirements / Delays require major agency resources to ensure achievement of contract requirements / Response is marginally effective
Satisfactory / Nonconformance's
do not impact achievement of contract requirements / Cost issues
do not impact achievement of contract requirements / Delays do not impact achievement of contract requirements / Response is usually effective
Very Good / There are no quality problems/issues, and the contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government / There are no cost management issues and the Contractor has exceeded the contract requirements, achieving cost savings to the Government. / There are no delays / Response to inquiries and/or technical, service, administrative issues are effective.
Exceptional / The contractor has demonstrated an exceptional performance level that was significantly in excess of anticipated achievements and is commendable as an example for others. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional". / The contractor has demonstrated an exceptional performance. It is expected that this rating will be used in those rare circumstances where the contractor achieved cost savings and performance clearly exceeds the performance levels described as "Exceptional". / The contractor has demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional". / The contractor has demonstrated an exceptional performance level. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Exceptional".

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