Att L-02 Past_Performance_Questionnaire FINAL.pdf

Past Performance Questionnaire

CUI//SSEL/DL ONLY (WHEN FILLED IN)

SOURCE SELECTION SENSITIVE INFORMATION –SEE FAR 2.101 AND FAR 3.104 (WHEN FILLED IN)

Background: This questionnaire will be used to provide past performance information to support the Missile Defense Agency HQ085426RE004 ADVANCED PLANNING

SERVICES (APS)

Message to the Government Assessor: Your feedback is requested by the Missile Defense Agency (MDA) to assist with assessing the performance history for the Contractor identified below. To expedite receipt of the requested information, MDA requests that you e-mail the completed questionnaire(s) to Laura Mabe, laura.s.mabe.civ@mail.mil, by the proposal due date of [date]. Please do not return your response to the contractor. Your support and participation in this matter is essential and greatly appreciated!

Instructions for Offeror/Subcontractor and Government Assessor:

• Sections I and II to be completed by the Offeror/ Subcontractor and provided to the

Government Assessor (the Government personnel that had knowledge of the Offeror/Subcontractor performance on a previous relevant contract). The assessor verifies Sections I and II, completes the questionnaire, and submits to the Contracting Officer. If any information is incorrect please annotate and provide the correct information.

• Sections III through VI to be completed in their entirety by the Government Assessor.

I. Client Identification Client or Agency Name Client or Agency Description Geographic Description of Services Under This Contract (i.e. single location, multiple locations, CONUS (in U.S.), or OCONUS (Outside U.S.) (If applicable)

II. Current or Historical Contract Identification

Contractor Name/Address Contract Number:

Email:

Contract Type:

Initial Period of Performance:

Current/Final Period of Performance:

Initial Contract Value (base only):

Current/final Contract Value (base and exercised options only):

Reason if Initial Contract Value and Current/final Contract Value above are different.

Brief description of services provided Contractor Role (Prime or Subcontractor)

GOVERNMENT ASSESSOR: The information submitted by the Offeror/Subcontractor above is: CORRECT ☐ OR INCORRECT ☐

If the information submitted by the Offeror/Subcontractor is incorrect, provide rationale:

III. Government Assessor Information

Name Phone Number/Email Address Role (examples: PM/PCO/ACO/Contract Specialist/COR/Quality Assurance Specialist, etc.)

Assessor’s number of years working on contract

IV. Assessment Definitions

The following definitions should be used in your assessment of Contractor performance

PERFORMANCE

LEVEL

DESCRIPTION

EXCEPTIONAL (E) Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD (VG) Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY (S) Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL (M) Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY

(U)

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NOT APPLICABLE

(N/A)

The above ratings are not applicable to this particular area of evaluation.

[Insert appropriate PPQ questions based on applicable technical, management and cost factor/subfactor pertaining as it relates to the acquisition and as identified as key focus areas in the RFP. These questions should be focused on critical or important aspects that would impact the evaluation.]

V. Performance Evaluation Mission Capability E VG S M U N/A

Please provide rationale for any exceptional (E) or unsatisfactory (U) assigned ratings:

All comments are appreciated; however, at a minimum, rationale should be provided for exceptional (E) or Unsatisfactory (U) ratings.

VI. General Comments:

Assessor’s Signature