Appendix C_Past Performance Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

We are currently in the process of preparing our proposal for the Department of the Navy, Acquisition Modernization Office. As part of our proposal, we have listed you (Client) as a reference on our performance (Offeror/Contractor). Your input is therefore requested.

Please complete this Questionnaire and e-mail to:

OFFEROR/CONTRACTOR Info:

Company:

Name & Title:

Phone:

Email:

Questionnaire is due to Offeror/Contractor POC no later than June 11, 2024. Questionnaire must be submitted directly to the POC on company letterhead.

Thank you.

ALL INFO BELOW THIS LINE TO BE COMPLETED BY THE CLIENT.

CLIENT Info

PRIMARY CONTACT:

Company:

Name & Title:

(Please only list persons who are available to be contacted by the Department of the Navy.)

Phone:

E-Mail:

ALTERNATE CONTACT:

Company:

Name & Title:

(Please only list persons who are available to be contacted by the Department of the Navy.)

Phone:

E-Mail:

Contact Info of Person Completing Questionnaire:

Company:

Name & Title:

(Please only list persons who are available to be contacted by the Department of the Navy.)

Phone:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number:

2. Contract Value:

3. Period of Performance:

4. Brief description of items/services provided:

5. Has Contractor fulfilled its obligations under the contract provisions?

6. Would you work with the Contractor again if you had another project?

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. Attach additional pages if more space is needed.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A) Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Comments, if any.

Questions 2. Timeliness

What is your assessment of the Contractor’s ability to complete the project in a timely manner? Did the Contractor provide and meet a project timeline?

Question 3. Quality of Project

What is your assessment of the Contractor’s ability to meet requirements of project (including design, build, delivery etc) and the overall quality of the project?

Question 4. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional Very Good Satisfactory Marginal Unsatisfactory

General Comments: