Attachment J-2- Past Performance Questionnaire_02042020.docx

PAST PERFORMANCE QUESTIONNAIRE

PART 1 – TO BE COMPLETED BY OFFEROR

Instructions to the Offeror: A separate record must be completed for all contracts awarded to the competing Offeror within the past three (3) years. The Offeror will then transmit the completed Part 1 and a blank Part 2 to the client organization’s Contracting Officer or Contacting Officer’s Representative, who will in turn completes Part 2 and returns the entire past performance package by email to the Government Contract Specialist, Mr. Cosia at Teddy.Cosia.ctr@dot.gov with copy to Mrs. Cooke-Nwadibia via email at Stephanie.Cooke-Nwadibia@dot.gov no later than 5:00 PM EST on Thursday, February 27, 2020:

1. Contract Number and Delivery/Task Order: ____________________

2. Contractor (Name, Address and Zip Code):

3. Type of Contract: Negotiated ___; Sealed Bid ___; Fixed Price ___; Cost Reimbursement___;

Other (Specify): ______________________

4. Complexity of Work: Difficult ___ Routine ___

5. Brief Description and Location of Work:

6. Contract Amount/Value: _______________ Status: Active: ___ Complete: ___

7. Date of Award: ________ Contract Completion Date (Including Extensions): _____________

8. Type and Extent of Subcontracting:

9. Name, Address and Telephone Number of the Contracting Officer or Contracting Officer’s Representative (COR) of the client organization:

10. Administrative Contracting Officer or other appropriate references and telephone numbers:

RFQ No. 69319520R000002 Attachment J-2: Past Performance Questionnaire

11. Indicate whether past performance information for your firm has been uploaded into the Contractor Performance Assessment Reporting System (CPARS) etc.

PAST PERFORMANCE QUESTIONNAIRE

PART 2 – TO BE COMPLETED BY OFFEROR’S CLIENT ORGANIZATION

Instructions to the receiving Contracting Officer or Contracting Officer’s Representative: The organization (the “Offeror”) forwarding this Past Performance Questionnaire to you is competing for a BPA award with the Federal Transit Administration (FTA). A separate record must be completed for all contracts awarded to the competing Offeror within the past three (3) years. It is requested that you review the information in Part 1, make corrections if appropriate, and then answer the questions in this Part. The questions are written in such a way that only brief responses are required. However, the FTA would appreciate additional comments where you feel that a check-off grade does not adequately address the circumstances of contract performance. Please transmit the completed questionnaire directly to the email address below no later than 5:00 PM EST on Thursday, February 27, 2020 (not back to the Offeror):

Mr. Teddy Cosia, Contract Specialist via email at Teddy.Cosia.ctr@dot.gov with copy to Mrs. Stephanie Cooke-Nwadibia, Senior Contracting Officer via email at Stephanie.Cooke-Nwadibia@dot.gov

1. To what extent did the contractor submit required reports and documentation in a timely and quality manner?

{ } Considerably surpassed minimum requirements { } Exceeded minimum requirements { } Met minimum requirements { } Less than minimum requirements Comment:

2. To what extent were the contractor’s reports and documentation accurate, complete, and of quality?

{ } Considerably surpassed minimum requirements { } Exceeded minimum requirements { } Met minimum requirements { } Less than minimum requirements Comment:

3. To what extent was the contractor able to solve contract performance problems without extensive guidance from customer Government counterparts?

{ } Considerably surpassed minimum requirements { } Exceeded minimum requirements { } Met minimum requirements { } Less than minimum requirements Comment:

4. To what extent did the contractor display initiative in meeting requirements in a quality manner?

{ } Considerably surpassed minimum requirements { } Exceeded minimum requirements { } Met minimum requirements

5. Did the contractor commit adequate resources in timely fashion to the contract to meet the requirement and to successfully solve problems in a quality manner?

{ } Exceeded minimum requirements { } Met minimum requirements

6. To what extent did the contractor respond positively and promptly to technical directions, contract change orders, etc.?

{ } Exceeded minimum requirements { } Met minimum requirements

7. To what extent was the contractor effective in interfacing with the customer’s Government staff?

{ } Exceeded minimum requirements { } Met minimum requirements

{ } No

If yes, explain (e.g., inability to meet cost, performance, or delivery schedules).

If yes, explain and indicate the status

10. How effective has the contractor been in addressing requirements with conducting audits and reviews in a quality manner?

{ } Considerably surpassed minimum requirements { } Exceeded minimum requirements { } Met minimum requirements

11. To what extent did the contractor provide timely technical assistance when responding to problems or issues encountered?

{ } Exceeded minimum requirements { } Met minimum requirements

12. To what extent did the contractor meet the proposed cost estimates within time and budget?

{ } Exceeded minimum requirements { } Met minimum requirements

**Note: For corrections, additions, deletions to the information provided in Part 1, please annotate in Part 1 or attach additional pages, if required.

NARRATIVE SUMMARY - Attach additional pages for elaboration of specific comments to the questions above, if needed.

Overall Customer Satisfaction { } Extremely Satisfied, performed extremely well { } Very Satisfied, performed well overall { } Satisfied, Met requirements on average and overall { } Less than Satisfied, partially met overall requirements and expectations { } Met few or none of the requirements and expectations