Attachment_C-_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

Instructions:

◊ The Bureau of Engraving and Printing (BEP) requests recent past performance. Recent is defined as within the last 5 years.

◊ Offeror shall send the questionnaire to at least two (2) Assessors (personnel or organization) for which production equipment and/or supplies were provided. Equipment must be relevant to BEP’s requirement. Relevant is defined as similar in size, scope, and complexity to the BEP’s requirement identified in the Statement of Work.

◊ Offeror shall complete Section II prior to submitting the questionnaire to Assessor(s).

◊ The Assessor(s) shall validate/confirm Section II information and complete Sections III and

V.

◊ The Assessor(s), NOT THE OFFEROR, shall email the completed questionnaire to the contracting office point of contact no later than the date and time indicated below.

Message to the Assessor: Your assistance is requested by the BEP to assist with establishing the performance history for the Contractor named below. Please validate/confirm Section II information, complete Sections III and V, and sign the questionnaire. Completed questionnaire shall be emailed to frederick.porter@bep.gov and ines.lopez@bep.gov by no later than 1:00 PM Eastern Time (EST), on Monday, 9 September 2019.

I. Solicitation Data (for the proposed effort)

Solicitation Number 2031ZA19Q00224 Project/Requirement Plate Shuttles

II. Current or Historical Contract Information Assessor: The performance data submitted by the Offeror is correct or incorrect.

Name of Company Reference is for: _____________________________________________________

CONTRACTOR NAME &

ADDRESS:

Contract No

Type of Contract Initial Final Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role PRIME SUBCONTRACTOR

Termination History Convenience Default N/A mailto:frederick.porter@bep.gov mailto:ines.lopez@bep.gov

III. Assessor Information

Assessor Name

Title Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

Role Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Manager

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

Contractor’s performance significantly exceeded most or all contract requirements. 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 problems(s) for which the Contractor’s corrective actions appear or were ineffective..

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

V. Performance Evaluation

E xc ep tio na l

V er y G oo d

Sa tis fa ct or y

M ar gi na l

U na cc ep ta bl e

N /A

CUSTOMER SATISFACTION

The referenced contractor was responsive to the customer’s needs.

The contractor’s personnel were qualified to meet the requirements.

SCHEDULE PERFORMANCE

The contractor’s ability to ensure, to the extent of its responsibility, that all tasks were completed within the requested time frame.

Time required for vendor to respond to emergencies and service requests.

Timeliness in Meeting Milestones and deliverables (if applicable)

MANAGEMENT PERFORMANCE/PROGRAM

MANAGEMENT

The contractor had a clear understanding of the tasks detailed in the Statement of Work/Performance Work Statement

The contractor’s ability to complete tasks correctly the first time.

The contractor’s ability to resolve problems.

Did the contractor successfully manage its subcontractors?

Was the contractor’s management effective in controlling cost, schedule and performance requirements?

QUALITY

What is your OVERALL assessment of the quality of the contractor’s performance? Were your specifications and expectations met by the contractor?

Quality of the finished product; please note any specific issues.

Conformance to Contract Requirements

Standards of Good Workmanship (technical, professional, environmental, safety, etc.)

E xc ep tio na l

V er y G oo d

Sa tis fa ct or y

M ar gi na l

U na cc ep ta bl e

N /A

COST

The contractor’s ability to accurately estimate cost.

COST/PRICE ESTIMATES—(ability to meet proposed costs and whether actual costs/rates realized reflect negotiated costs/rates)

INVOICING—accuracy and timeliness of submission

Based on this Contractor’s overall performance, would you award this Contractor another contract?

Yes________ No___________ If no, please explain:

General Comments:

Assessor’s Signature Date