template- past performance.docx

PAST PERFORMANCE QUESTIONNAIRE TEMPLATE

Instructions:

· Sections I through III are to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel who had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

· Sections III through VII are to be completed in their entirety by the assessor.

Message to the assessor: Your assistance is requested by the USMC to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail or FAX the completed questionnaire(s) to: [name@usmc.mil or fax to XXX-XXX-XXXX].

I. Solicitation Data (for the proposed effort)

II. Current or Historical Contract Information

Assessor: The information listed below is |_| Correct |_| Incorrect.

CONTRACTOR

NAME & ADDRESS:

Contract Number

Type of Contract

Contract Value

Performance Period Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

III. Assessor Information

Assessor Name

Title

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other (Specify)

IV. Evaluation Definitions

Use the following definitions in your assessment of contractor performance.

V. Performance Evaluation

[Insert within this section and the tables below all applicable elements and sub-elements relating to past performance (e.g., Quality of Product or Service, Schedule Performance, Management Performance, Cost Control, etc.) and explain what these elements and sub-elements encompass.]

1. Quality of Performance

a. What is your OVERALL assessment of the quality of the contractor’s performance?

Quality of Performance

Please provide the rationale for your assigned rating.

b.. Did the Government contribute in any way to problems associated with quality as identified in the above assessment? If yes, please explain.

2. Schedule Performance (Timeliness)

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Schedule Performance

Please provide your rationale for the assigned rating.

b. Did the Government contribute in any way to any Schedule problems identified in the above assessment? If yes, please explain.

3. Management Performance

a. What is your OVERALL assessment of the Contractor’s management performance?

Management Performance

Please provide rationale for assigned rating.

b. Did the Government contribute in any way to any of the management problems identified in the above assessment? If yes, please explain.

4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Cost Control

Please provide your rationale for the assigned rating.

VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed.

VII. General Comments: