RFP_Attachment_3_Past_Performance_Questionnaire-27Jul-POSTED.docx

Attachment 3 Solicitation #AG-7604-S-13-0033

PAST PERFORMANCE QUESTIONNAIRE

Dated June 21, 2013

TO REFERENCE: (Enter name of reference entity the questionnaire is being sent to)

REFERENCE’S PHONE NUMBER:

REFERENCE’S EMAIL:

FROM REQUESTING FIRM:

(Name of Firm and contact information of the person requesting the accomplishment of the questionnaire.)

Your assistance is requested in support of a source selection. The USDA Forest Service is in the process of soliciting offers from companies capable of performing Maintenance on Specified Networked Devices and Services Support. [Our firm] has provided your name and organization as a reference regarding our record of past performance under Contract No. [CONTRACT NO.].

Please complete this Questionnaire and forward a PDF copy to Brendell Gallegos (Contracting Officer), at bgallegos @fs.fed.us.

[Our firm] is competing for Solicitation AG-7604-S-13-0033 as a:

Prime Contractor

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

SECTION I - TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CAGE CODE:

4. PERIOD OF PERFORMANCE:

5. COMPETITIVELY AWARDED (circle one) YES or NO

6. INITIAL CONTRACT VALUE (with options): $

7. CURRENT CONTRACT VALUE (with options): $

8. TYPE OF CONTRACT:

9. REASONS FOR DIFFERENCE (IF ANY) BETWEEN INITIAL CONTRACT VALUE AND CURRENT CONTRACT VALUE:

10. DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

SECTION II - EVALUATION - TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

13. EVALUATOR’S TITLE:

14. EVALUATOR’S PHONE NUMBER:

15. EVALUATOR’S EMAIL ADDRESS:

16. NUMBER OF YEARS OR MONTHS EVALUATOR HAS MONITORED CONTRACTOR’S PERFORMANCE:

17A. INDIVIDUAL RATINGS EVALUATION:

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - Quality of performance exceeded all contractual requirements and expectations. The contract performance specification was accomplished with only minor problems for which corrective actions taken by the contractor were highly effective. The contractor was pro-active in identification of problems, providing alternatives and recommendations.

VG VERY GOOD - Quality of performance met contractual requirements and exceeded many expectations. The contract scope of work was accomplished with some minor problems for which corrective actions taken by the contractor were highly effective.

S SATISFACTORY – Quality of performance met contractual requirements. The contract scope of work was accomplished with some problems for which corrective actions taken by the contractor were satisfactory.

M MARGINAL – Quality of performance did not meet some contractual requirements. The contract scope of work had some serious problems which the contractor did not resolve to the customer’s satisfaction. The contractor’s proposed corrective actions appeared to be only marginally effective or were not fully implemented by the contractor.

U UNSATISFACTORY – Quality of performance did not meet most contractual requirements and recovery is not likely in a timely manner. The contract scope of work performance had major problems for which the contractor’s corrective actions were ineffective.

NA NOT APPLICABLE - Unable to provide a score as the question does not apply.

T1. Effectiveness of product in meeting the customer’s needs.

T2. The extent to which vendor delivered a working product that required little re-work.

T3. The ability of vendor’s resources to develop interfaces to existing systems.

T4. The ability of vendor to migrate existing data.

T5. The extent to which the effort to deploy solution was in configuration of an existing product rather than developing a customized solution.

T6. The timeliness of vendor in fixing bugs.

T7. The quality of vendor’s deliverables, including training material.

T8. The vendor’s ability to deliver promised functionality without additional costs or delays in schedule.

T9. User satisfaction with the product’s interface and ease of use capabilities.

T10. Customer satisfaction with the product’s accessibility during normal working hours.

T11. Customer satisfaction with the product’s responsiveness (lag time in performing functions within the system).

T12. Effectiveness and timeliness of producing product enhancements.

T13. Extent to which customer has direct input as to future product enhancements.

T14. Overall satisfaction with the solution.

M1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

M2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

M3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

M4. Understand/complied with customer objectives and technical requirements

M5. Successfully responded to emergency and/or surge situations

M6. Quality/effectiveness of sub-contracted efforts

M7. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

M8. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

M9. Successfully managed an integrated team inclusive of subcontractors/teammates.

T1. Ability to implement transition from the current contract to full assumption of responsibility.

T2. Ability to include a detailed schedule that will ensure a smooth implementation of contract services and continuity of the support.

S1. Ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan.

S2. Ability to effectively manage small business participation to meet technical performance.

17B. Please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

18. OVERALL EVALUATION RATING (circle one):

Overall Assessment: (a) EXCEPTIONAL (b) VERY GOOD (c) SATISFACTORY (d) MARGINAL (e) UNSATISFACTORY (f) NOT OBSERVED

19. Any unsatisfactory performance identified above has been shared with the contractor. ( ) Yes: written or oral ? ( ) No

20. 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).

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

Yes___ No ___

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