Attachment 2_Past Performance Questionnaire.doc

Past Performance Questionnaire

U.S. COAST GUARD OPERATIONAL LOGISTICS COMMAND (LOGCOM)

CONTRACTOR EVALUATION FORM

The United States Coast Guard, Operational Logistics Command is currently procuring Full Food services at the Coast Guard Academy in New London, CT under solicitation 70Z08426RDL950003. As a result, we are performing a past performance survey and reference investigation on potential contractors for the upcoming contract.

The information contained herein is considered “Source Selection Information” in accordance with FAR 3.104. Therefore, it is asked that you treat it accordingly. While the results of the overall past performance survey may be discussed with the contractor, FAR 15.609 and 15.1004 prohibits the release of the name of the individual responding to the survey.

Responses to this questionnaire should be emailed to Maeve Schaeffer at maeve.m.schaeffer@uscg.mil Should you have any questions concerning this survey, please contact information provided in solicitation.

This portion is to be completed by the Offeror.

Contract Number: Offeror’s Company Name:

Address: Telephone/Fax Number: Point of Contact: Email: Was work performed as a subcontractor under a prime contract? file_0.png file_1.wmf

Yes file_2.png file_3.wmf

No If yes, include:

Prime Contract Number: Prime Contractor’s Name: Address: Telephone/Fax Number: Point of Contact: Email:

Offeror Name: Solicitation# 70Z08426RDL950003 Project Title and Detailed Description of Work for which the Contractor was responsible to perform:

This portion is to be completed by the Respondent

Name and Title of Evaluator: Company Name: Address: Telephone/Fax Number: Point of Contact: Email:

Contractor performed as file_4.png file_5.wmf

Prime Contractor file_6.png file_7.wmf

Subcontractor file_8.png file_9.wmf

Key Personnel

The description of work as stated above file_10.png file_11.wmf accurately or file_12.png file_13.wmf does not accurately describe the work that was performed by Contractor being rated.

The contract was IAW (check all that apply): file_14.png file_15.wmf

FFP file_16.png file_17.wmf

CR file_18.png file_19.wmf

T&M file_20.png file_21.wmf

IDIQ file_22.png file_23.wmf

SCA file_24.png file_25.wmf

Davis Bacon file_26.png file_27.wmf

Sole Source file_28.png file_29.wmf

Subcontracting

Offeror Name: Solicitation# 70Z08426RDL950003

The total dollar value awarded:

Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF E, G, M or U.

E Exceptional Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

G Very Good Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

S Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

M Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub- element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective N Neutral Performance was not observed or not applicable to the current effort being reported against.

Offeror Name: Solicitation# 70Z08426RDL950003

Place an “X” in the appropriate column using the definitions matrix above.

The contractor:

E G S M U N

QUALITY

Followed approved quality control plan.

Provided effective quality control and/or inspection procedures to meet contract requirements.

Corrected deficiencies in timely manner and pursuant to their quality control procedures.

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

SCHEDULE

Developed realistic progress schedules.

Met established project schedules.

Provided timely resolution of warranty defects.

Paid subcontractors/suppliers in a timely manner.

COST CONTROL

Provided accurate and complete line item cost proposals including all aspects of work required for each task.

Managed Government furnished materials and supplies effectively and not in a wasteful manner

MANAGEMENT

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

Home office participated in solving significant local problems.

Delegated authority to project managers and supervisors commensurate with contract requirements.

Provided timely resolution of contract discrepancies.

Identified problems as they occurred.

Suggested alternative approaches to problems.

Displayed initiative to solve problems.

8.

Was responsive to contract changes.

Provided adequate project supervision.

Managed Program w/Integration & Coordination of the customer.

Managed Key Personnel

Managed Subcontracts

Integrity/Ethics Program

Reasonable and Cooperative in Behavior with Government personnel

REGULATORY

Complied with Environmental laws and regulations

Complied with Labor laws and regulations

Complied with other regulations and codes and safety requirements

How would you rate the contractor's overall performance?

Was the contractor ever issued a cure or show cause notice under the

Contract discrepancy reports (or equivalent) frequent

YES/NO

ADDITIONAL COMMENTS ON ANY RATING ELEMENT CAN BE MADE BELOW:

file_30.wmf

Offeror Name: Solicitation# 70Z08426RDL950003

End of Survey