Attachment_022,_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 10 years.

◊ Offeror shall send the questionnaire to at least one (1) Assessor (personnel or organization) who has used a Single Note Inspection (SNI) Finishing Systems relevant to BEP’s requirement. Relevant is defined as similar in size, scope, and complexity to the work 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 gladys.wilks@bep.gov and Frederick.porter@bep.gov by no later than 12:00 PM Eastern Time (EST), on Tuesday, 4 December 2018.

I. Solicitation Data (for the proposed effort)

Solicitation Number 2031ZA19R00001 Project/Requirement SNI Finishing Systems

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:gladys.wilks@bep.gov mailto:Frederick.porter@bep.gov

III. Assessor information for SNI Finishing Systems

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

Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions 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 the vendor to install, startup, commission and train your staff on the equipment to begin full production.

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 Need 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

General Comments:

Assessor’s Signature Date