Attachment 5- Past Performance Questionnaire.docx

RFP 28321319R00000017 Past Performance Questionnaire AMENDMENT 5

Dear Sir or Madam:

The Social Security Administration is soliciting proposals for the acquisition of open systems enterprise data storage hardware, software, warranty, maintenance, and support nationwide. We plan to submit a response to this solicitation and have designated you as one of our references. We request your assistance in this process by asking you to complete the attached questionnaire with regard to your evaluation of our experience and past performance.

By submitting this information, you are assisting the Federal Government in determining which Contractor is offering the best value. Please submit your response electronically to Greg.Shanklin@ssa.gov

The Government must receive responses by 3PM ET DECEMBER 16, 2019. We appreciate your timeliness in this matter.

Thank you in advance for your assistance.

Sincerely, Greg Shanklin Contract Specialist Office of Acquisition and Grants Social Security Administration Phone 410-965-9517

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 3.104

PLEASE E-MAIL COMPLETED QUESTIONNAIRE:

To: Greg Shanklin Date:

Offeror’s Name: _______________________________________________

Reference Name: _______________________________________________

I. RESPONDENT/CUSTOMER INFORMATION

Date:_________________________________________________________________________

Name:________________________________________________________________________

Email Address:_________________________________________________________________

Phone:__________________________________ Fax:_________________________________

Agency/Office:_________________________________________________________________

Position/Title:__________________________________________________________________

Relationship to Contract (CO, PO, ACO, COR)_______________________________________

Contractor performed as the ____ Prime Contractor ____ Sub-Contractor

How many years of service has the Contractor provided for your Organization?

How many Terabytes of storage capacity this Contractor provided for your Organization?

Please indicate the types of operating systems that your organization uses with the storage

Please indicate the types of hardware that has been provided by this Contractor:

Please indicate the types of software that has been provided by this Contractor:

II. OFFEROR'S HISTORICAL CONTRACT DATA

Contract Number:______________________________________________________________________

Contract Title:_________________________________________________________________________

Type of Contract:______________________________________________________________________

Period of Performance:__________________________________________________________________

Total Annual Dollar Value for all products and services provided by this Contractor:

Does this Contractor provide nationwide support for this Contract?

If yes, approximately how many nationwide sites were covered? ______________

Summary of Support Provided:

Summary or Additional Comments:_________________________________________________

Person Gathering Information:______________________________Date:_________________________________

III. SURVEY QUESTIONNAIRE FOR PAST PERFORMANCE

The evaluation, adjectival-description rating scale to be used by the evaluation team for past performance is defined as follows:

Excellent (E) – Performance met all contract requirements and exceeded most to your benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner. Based on the Contractor’s performance record, essentially no doubt exists that the Contractor will successfully perform the required effort. Little to no Government oversight is expected to be required in achieving the proposed level of performance.

Very Good (VG) – Performance met all contract requirements and exceeded some to your benefit. There were a few minor problems, which the Contractor resolved in a timely, effective manner. Based on the Contractor’s performance record, little doubt exists that the Contractor will successfully perform the required effort. Little Government oversight is expected to be required in achieving the proposed level of performance.

Good (G) – Performance met all contract requirements. There were a few minor problems, which the Contractor resolved in a timely, effective manner. Based on the Contractor’s performance record, some doubt exists that the Contractor will successfully perform the required effort. Some Government oversight is expected to be required in achieving the proposed level of performance

Marginal (M) – Performance met the all contract requirements. There were some minor problems, and the Contractor’s corrective actions were satisfactory. Based on the Contractor’s performance record, substantial doubt exists that the Contractor will successfully perform the required effort. Substantial Government oversight or intervention is expected to be required to meet the contract requirements. Successful performance is doubtful.

Unsatisfactory (U) – Performance did not meet all contract requirements. There were significant problems, and the Contractor’s corrective actions were not completely effective. Based on the Contractor’s performance record, extreme doubt exists that the Contractor will successfully perform the required effort. Extreme Government oversight or intervention is expected to be required to meet the contract requirements. Successful performance is extremely doubtful.

Quality of Product/Support - For example, compliance with contract requirements; conformance to standards of good workmanship; quality and accuracy of reports; appropriateness of assigned personnel; technical excellence; customer satisfaction; etc.

Assess: How successful was the contractor in meeting program quality objectives, e.g., reliability, technically and controlling the overall maintenance, and inventory processes.

RATING:

COMMENTS:

Schedule - For example, reliable; adhered to the contract schedule; timeliness of deliverables and reports; completed on time including wrap-up and contract administration; no liquidated damages or history of significant performance penalties/deductions; etc.

Assess: the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, administrative requirements, etc.

Business Relations - For example, effective and efficient management; businesslike correspondence; responsive to contract requirements and technical direction; prompt notification of problems; reasonable/cooperative behavior; flexible; pro-active; effective and efficient contractor recommended solutions; effective and efficient small/small disadvantaged business subcontracting program; etc.

Cost Control – Within budget (e.g. request for equitable adjustments or claims); current/accurate billing; etc.

Assess: effectiveness in forecasting, managing, and controlling contract cost. For fixed price contracts, this assesses whether contractor met original cost estimated or needed to negotiate cost changes to meet program requirements.

Management of Key Personnel - For example, the Contractor provided effective/efficient management of personnel, subcontractors, utilization of quality subcontractors, and program oversight etc.

Assess: the extent to which the contractor discharges its responsibility for integration and coordination of all activity needed to execute the contract; identifies and applies resources required to meet schedule requirements; assigns responsibility for tasks/actions required by contract; communicates appropriate information to affected program elements in a timely manner.

Assess: the contractor’s risk management practices, especially the ability to identify risks, formulate, and implement risk mitigation plans.

How would you rate the contractor's OVERALL PERFORMANCE for this effort?

Would you award this contractor another similar contract?

YES ( ) NO ( )