Attachment J4 - Past Performance Questionnaire (693JJ926R000073).docx
DOCX document 37 KB Posted
- Solicitation number
- 693JJ926R000073
About this file
This is a Past Performance Questionnaire template for the New Car Assessment Program (NCAP) Pedestrian Impact Testing solicitation issued by the National Highway Traffic Safety Administration (NHTSA), a component of the Department of Transportation.
The questionnaire is designed to evaluate contractors' prior experience and past performance capabilities relevant to performing pedestrian protection impact testing on production motor vehicles. As a template document, it provides the standard format and question structure that prospective contractors must complete and submit as part of their technical proposals. The questionnaire will be used by the government evaluation committee to assess one of four primary technical evaluation factors—specifically "Past Performance and Prior Experience"—which combined with Technical Plan, Facilities and Equipment, and Organization and Personnel Qualifications, are weighted more heavily than price in the best-value tradeoff award decision. Contractors responding to solicitation 693JJ926R000073 should expect to provide detailed documentation of their previous work performing automotive crash testing, impact testing procedures, equipment qualification, and related testing services to demonstrate their capability to successfully execute firm-fixed-price task orders for NCAP pedestrian impact testing as vehicle models are assigned under the anticipated multiple-award contract.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
NCAP Pedestrian Protection (PedPro) Testing Services Solicitation 693JJ926R000073 (PR No. 693JJ926RQ000276)
INSTRUCTIONS
The Offeror identified below has submitted a proposal for NCAP pedestrian protection testing services and has listed your organization as a past-performance reference. Please complete this questionnaire based on your experience with the Offeror and return it by e-mail to [Contract Specialist], NHTSA Office of Acquisition Management, at van.nixon.ctr@dot.gov by [DATE TO BE DETERMINED BY CO]. By law, the Government will not disclose the names of individuals providing reference information during any discussions with the Offeror.
| Offeror (Company) Being Evaluated |
| Contract/Order Number |
| Period of Performance |
| Dollar Value |
| Evaluator Name |
| Title |
| Organization |
| Phone / Email |
RATING SCALE
Exceptional (E) — Performance meets contractual requirements and exceeds many to the Government's benefit. Very Good (VG) — Meets and exceeds some requirements. Satisfactory (S) — Meets requirements. Marginal (M) — Does not meet some requirements; deficiencies correctable. Unsatisfactory (U) — Does not meet requirements. Not Applicable (N/A).
PERFORMANCE RATING
| Evaluation Element |
| Rating (E / VG / S / M / U / N/A) |
Quality of testing and technical work (conformance to test procedures)
Accuracy and completeness of test reports and data
Adherence to schedule and timeliness of deliverables
Facilities, equipment, and calibration/quality control
Qualifications and responsiveness of personnel/management
Cost control / invoicing accuracy
Overall customer satisfaction / would you award again
NARRATIVE COMMENTS
Please provide any additional comments on the Offeror's performance (strengths, weaknesses, and any corrective actions):
File details come from the government source that posted it. Updated .