Addenda 16- Past Performance Questionnaire.pdf

Past Performance Questionnaire H92240-20-T-0009, Addenda 16

TO BE COMPLETED BY THE OFFEROR’S REFERENCE AND SUBMITTED DIRECTLY TO THE

CONTRACTING OFFICER

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

1. The contractor listed below is being considered in a Source Selection by the Naval Special Warfare Command in San Diego, CA. You have received this questionnaire because you have been identified as a source of Past Performance Information for that offeror. Any comments you can provide regarding the past performance of the contractor providing this form is greatly appreciated.

2. Please complete the attached questionnaire for the contractor and program described below (to be completed by the offeror) and based on the following guidance. Send the completed questionnaire to john.knizner@socom.mil and NSWK1@socom.mil prior to the closing date of solicitation H92240-20-T-0009. Do not send the completed questionnaire to the contractor.

Please fill in all sections. State “not applicable” if question does not apply or you have no comment.

3. Indicate a rating, based on the description below, for the contractor’s performance on the identified program.

Underline the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels.

RATING DEFINITIONS

Unsatisfactory Entirely unfavorable past performance. Offeror has consistently not satisfied previous customers and/or violated laws, regulations, and contract requirements. Performance did not meet contractual requirements and any corrective action taken was not effective.

Marginal Record of performance split between favorable & unfavorable. Performance did not meet some of the contractual requirements. The element being assessed reflects a serious problem for which the contractor did not implement or has not implemented satisfactory corrective actions.

Satisfactory Record of performance favorable. Offeror has satisfied previous customers, laws, regulations, and contract requirements.

Very Good Record of performance very favorable. Offeror has satisfied previous customers, laws, regulations, and contract requirements and exceeded some of the contract requirements to the government’s benefit.

Exceptional Record of performance extremely favorable. Offeror has always satisfied previous customers, laws, regulations, and contract requirements to a high degree and exceeded many contractual requirements to the government’s benefit.

4. In addition to completing the attached questionnaire for the identified program, please provide comments on any other programs for which your activity has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

Thank you for your prompt response and assistance!

Email: john.knizner@socom.mil with any questions!

mailto:NSWK1@socom.mil mailto:john.knizner@socom.mil

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________(FFP, CPFF, etc.)

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________(dates)

G. Initial contract cost: $____________________________(total)

H. Current/final contract cost: $_______________________________(total, break down value on annual basis)

I. Role of Contractor (Prime/Sub): ___________________ If Subcontractor, name of Prime: ________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: ____________________________________________________________________

B. Customer or agency description (if applicable): ___________________________________________________

C. Geographic and customer description of services provided under this contract, i.e. local, nationwide, worldwide, specific customer, multiple customers, etc.:

D. Reasons for differences between initial contract cost and final contract costs: ____________________________

E. Description of service provided by named Contractor:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

Number of years evaluator worked on subject contract: _____________________ d.) MANAGEMENT:

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor effectively managed the timeliness, completeness and quality of problem identification; and took appropriate corrective action when needed.

(3) The Contractor consistently demonstrated reasonable and cooperative behavior.

(4) The Contractor was committed to customer satisfaction.

(5) The Contractor was responsive.

(6) The Contractor effectively managed subcontracts for this effort, if applicable.

(7) The Contractor provided effective program management for this effort.

(8) The Contractor effectively managed key personnel with minimum turnover and well qualified replacements.

e.) REGULATORY COMPLIANCE:

(1) The contractor complied with all terms and conditions relating to applicable regulations and codes.

EXCEPTIONAL VERY

GOOD

SATISFACTORY MARGINAL UNSAT

a.) QUALITY:

(1) The Contractor provided a product or service that conformed to contract requirements, specifications and standards of good workmanship

(2) The Contractor submitted accurate reports.

(3) The Contractor’s performance demonstrated technical excellence and reliability.

b.) SCHEDULE:

(1) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

(2) The contractor’s actions avoided any negative schedule variances; or, appropriate corrective action was taken.

c.) COST CONTROL:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Contractor demonstrated cost efficiencies in performing the required effort.

(4) The actual costs/rates realized closely reflected the negotiated costs/rates.

SECTION 4: NARRATIVE SUMMARY

Discuss each response for which you indicated a Marginal or Unsatisfactory response to the questions above.

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

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

Evaluator’s Name/Signature Date

EXCEPTIONAL VERY

GOOD

SATISFACTORY MARGINAL UNSAT

f.) OVERALL:

(1) Overall, how satisfied are you with the contractor’s performance?