Att D.4 - Past Performance Questionnaire.doc

1305M223RNCNM0026

Past Performance Questionnaire

Past Performance Questionnaire Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the requisite Contractor. Please e-mail the completed questionnaires to sarah.appleman@noaa.gov.

Instructions:

· Complete Sections II through VII in their entirety.

· Submit completed questionnaire to sarah.appleman@noaa.gov.

I. Solicitation Data (for the proposed effort)

II. Current or Historical Contract Information

Assessor: Complete relevant performance data for your contract with the Offeror below:

CONTRACTOR NAME & ADDRESS:

Contract No

Type of Contract

Period of Performance/Delivery Schedule

Project/Requirement Description

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

PRIME

FORMCHECKBOX

SUBCONTRACTOR

Convenience

FORMCHECKBOX

Default

FORMCHECKBOX

N/A

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:

IV. Evaluation Definitions The following definitions should be used in your assessment of Contractor performance.

V. Performance Evaluation

1. Technical Performance

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

Technical Performance

Please provide rationale for the assigned rating.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

b. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

2. Schedule Performance

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

Schedule Performance

Please provide rationale for assigned rating.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

b. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

3. Management

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

Management

b. Assess the Contractor’s management performance in the following areas.

MANAGEMENT RESPONSIVENESS—Timeliness, completeness, and quality of problem identification, proposal submittal, history of cooperative behavior, effective business relations, teamwork AND Customer satisfaction.

SUBCONTRACT MANAGEMENT—Timely award and management of subcontracts and meeting subcontracting goals for small business, small disadvantaged business, etc.

PROGRAM MANAGEMENT—Effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices.

MANAGEMENT OF PERSONNEL—Ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the Government’s requirements within schedule and budget.

INTEGRATED PRODUCT TEAM MANAGEMENT—Commitment and participation to the IPT process.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

4. Cost Control

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

Cost Control

b. Assess the Contractor’s cost performance in the following areas.

COST REPORTING—Accuracy and timeliness of the Contractor’s cost reporting data.

NOTIFICATIONS—Timeliness of the Contractor’s notifications of costs as required by the Limitation of Cost/Funds Clauses.

RESOLUTION OF COST PROBLEMS—Commitment to resolve cost issues—may include utilizing principles such as Cost as an Independent Variable (CAIV)

ADHERENCE TO COST TARGETS—Ability to establish and meet the realistic cost targets.

SUBCONTRACT COST MANAGEMENT— Ability to forecast, negotiate, and control subcontract costs

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

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

VII. General Comments:

Assessor’s Signature

Date

Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only