Att J-6 PP Questionnaire.docx

USS MOUNT WHITNEY (MTW)

REGULAR OVERHAUL (ROH) – N6817125R0005

ATTACHMENT J-6 (Past Performance Questionnaire)

OFFEROR __________________________

NAVSUP Fleet Logistics Center Sigonella (FLCSI), Code 200 is currently evaluating competitive offers for ship repair and maintenance utilizing a dry-dock to be performed on board of the USS MOUNT WHITNEY (MTW).

The principal dimensions of the USS MTW are as follows:

PRINCIPAL DIMENSIONS

INSTRUCTIONS: The Offeror shall request its current or former customers to complete the Attachment S-6 (Past Performance Questionnaire) and return it before the closing date of this solicitation to the following:

Barnhart, Nicole E, Contract Specialist, email: nicole.e.barnhart.civ@us.navy.mil Guarino, Annamaria, Contract Specialist, email: anna.guarino4.ln@us.navy.mil Maria di Lieto, Contract Specialist, email: maria.dilieto2.ln@us.navy.mil Stamatiades, Elias L, Supervisory Contracting Officer, email: elias.L.stamatiades.civ@us.navy.mil

The name of the Offeror must be indicated at the top of this page.

Any questionnaires received after the proposal due date/time may be considered late and may not be considered in the Offeror’s past performance evaluation. The Government, at its discretion, will determine whether or not questionnaires received after the proposal due date will be considered. Questionnaires submitted directly by the Offeror will be disregarded.

The information provided below will become part of the source selection documentation; however, the name and the content of the questionnaire will not be released to any of the parties. Should you have any questions concerning this request, please contact Contract Specialist, Nicole Barnhart, at: Nicole.e.barnhart.civ@us.navy.mil and Contracting Officer, Elias L. Stamatiades, at: Elias.L.Stamatiades.civ@us.navy.mil.

SECTION A (To Be Completed by the Offeror)

1. Name of Offeror/Contractor: __________________________________________________

Address of Offeror/Contractor: ________________________________________________

2. Contract Number: ___________________________________________

3A. Period of Performance: ______________________________________________________

3B. Place of Performance: _______________________________________________________

4. Detailed Description of Work/Scope of Effort:

SECTION B (To Be Completed by the Evaluator)

1. Name of Evaluator: _______________________________________________________

2. Position Title: __________________________________________________________

3. Administrating Authority/Agency: ___________________________________________

4. Telephone Number: ________________________

5. Signature: ______________________________ Date: ____________

6. Background Information

b. Period of Performance (all years): ____________________________________

c. Total value of the contract (all years): _________________________________

2. Contractor's Past Performance

a. Please answer each of the following questions circling the appropriate letter for each item on the questionnaire correspondent to the adjectival rating below:

Adjectival Rating Description

Outstanding (O) Superior accomplishment of contract requirements and very high customer satisfaction.

Acceptable (A) Fully compliant accomplishment of contract requirements and positive customer satisfaction.

Unacceptable (U) Failure to properly accomplish contract requirements and failure to satisfy customer.

Not Applicable (N) Unable to provide a rating. Performance in this area not applicable to effort assessed.

Please see next page for questions.

Questions: (circle appropriate letter)

(1) Quality/Achieving Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

1. Rate the contractor’s demonstrated history of delivering products and services that meet or exceeded the requirements of this contract

O A U N ________________________________________________________________________________________________________________________________________________

1. How would you describe your level of customer satisfaction?

O AMSC U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________

(2) Timeliness.

1. Did the Contractor meet/comply with performance schedules?

O A U N _________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Rate the timeliness of submission of requested information, Contract Change Order proposals, reports and invoicing.

O A U N

1. Rate the Contractor’s ability to absorb growth and/or new work with no or reasonable impacts to the Delivery Date.

O A U N

(3) Contractor Responsiveness. The offeror’s demonstrated ability to:

1. Respond to customer concerns (Identify specific concerns and the contractor’s resolution)

O A U N

1. Isolate and resolve problems

4. the number and severity of problems,

4. the effectiveness of corrective actions taken,

4. the ability to implement corrective actions on future work.

O A U N

(4) Contractor's cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.)

O A U N

(5) Were there significant problems with contract administration and/or interpretation of the contract after award? If YES, please explain in the additional comments section below.

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

(6) Would you do business with this company again?

Past Performance Questionnaire