26R1012 Attachment 3 Past Performance Questionnaire.pdf

SOURCE SELECTION INFORMATION

See FAR 2.101 and 3.104

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION NUMBER N0017426R1012

In order to expedite the assessment process, the Offeror may complete the “Contract

Information” portion of the Past Performance Questionnaire for the convenience of the customer

POC. The Offeror shall not, however, complete any other section of the Past Performance

Questionnaire.

The questionnaire shall be provided to the customer POC with instructions to complete and submit it directly to the Contract Specialist, Diane Hicks at diane.d.hicks.civ@us.navy.mil on or before the proposal due date. This questionnaire is only for past performance records not contained in CPARS.

The Contract Specialist will confirm receipt of questionnaires received.

The Past Performance Questionnaire includes questions on (1) customer satisfaction; (2) timeliness; (3) technical success; (4) program management; and (5) quality. The Government will not assign a rank to the Past Performance factor but will determine the acceptable or unacceptable nature of the past performance for each Offeror based on the information provided and review of other sources of past performance information available to the Government.

THIS SECTION MAY BE COMPLETED BY THE OFFEROR

Offeror’s Name:

Contract Number: ____________________________________________

Period of Performance: ____________________________________________

THIS SECTION TO BE COMPLETED BY THE OFFEROR’S CUSTOMER

Name and title of the person completing questionnaire, as well as agency/activity supported:

Length of time your agency/activity has been involved with the Offeror:

Brief description of the services provided by the Offeror:

mailto:diane.d.hicks.civ@us.navy.mil

RATING SCALE

Please use the following ratings to answer the questions.

EVALUATION CRITERIA

Exceptional: Performance meets contractual requirements and exceeds many to the customer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective.

Very Good: Performance meets contractual requirements and exceeds some to the customer’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 does not meet some 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 most 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.

NEUTRAL: The Offeror lacks a relevant past performance record or past performance information is not available or cannot be determined. The Offeror will not be evaluated favorably or unfavorably on past performance.

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CUSTOMER SATISFACTION

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

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

The contractor’s ability to accurately estimate cost.

TIMELINESS

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

TECHNICAL SUCCESS

The contractor had a clear understanding of the tasks detailed in the SOW and/or delivery orders.

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

The contractor’s ability to resolve problems.

PROGRAM MANAGEMENT

Did the contractor successfully manage its subcontractors?

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

QUALITY

The contractor’s quality and reliability of services delivered.

OVERALL

Please assign an overall rating for the contractor’s work performed.

PLEASE PROVIDE SUBJECTIVE RESPONSES FOR THE FOLLOWING:

1. Would you recommend this contractor for similar contracts? Please explain:

2. Have you experienced special or unique problems with the referenced contractor that the

Government should be aware of in making our decision?