CONTRACTOR PERFORMANCE DATA SHEET
(Complete one Form for each Reference)
This RFP/RFQ Number:
Contractor Name:
Address:
Contractor’s POC (Person to verify data):
Telephone:
FAX:
CONTRACT PERFORMANCE INFORMATION
Contract Number:
Date Completed:
Contract Type:
RFQ___ Cost Reimbursement ____ Other (Specify) ___________
Brief Item/Service Description (See Quality (1) below to
provide additional detail):
Project Location
Project Size/Period of Performance:
Customer Name:
Customer POC (Person who can verify data):
Address:
Telephone:
FAX:
CONTRACTOR MUST COMPLETE THE FOLLOWING TO BE CONSIDERED RESPONSIVE
QUALITY
1
2
3
4
5
6
7
8
9
10
11
12
YES
NO
*
Were supplies/services similar in nature to this solicitation’s work description?
Was/is any part of this contract terminated for default and/or in litigation?
*
Was consideration or a monetary withhold for non-conforming supplies/services?
*
Was any warranty work completed on delivered items or rework of services?
*
Did you receive any quality awards in the past three years?
CUSTOMER SATISFACTION
Were the customers completely satisfaction with the completed products & services?
*
TIMELINESS
Were all items (including products, services, reports, etc.) delivered within the original
*
contract schedule?
Were liquidated damages or consideration assessed for late delivery
*
BUSINESS RELATIONS
Did subcontractor get effectively managed where subcontracts were necessary?
*
Was an environment of reasonableness and cooperation nurtured whereby flexibility existed
and solutions were recommended?
Was there a good working relationship with the Contracting Officer and COR?
*
OTHER PERTINENT INFORMATION
Describe any corrective action(s) initiated to solve any of the above-described problems/deficiencies on this
contract. Discuss the success of the corrective action(s) taken.*
NOTES:
(1) Answers in columns containing an asterisk (*) require an explanatory narrative attached to this form. Other
answers may include narrative response at the offerors election.
(2) The information provided may be used to evaluate the offeror’s past performance in meeting cost, price, technical,
and performance objectives. The results may be used in the overall comparative evaluation of the offeror(s) in
accordance with Evaluation Factors for Award provisions.