Attach 3 - Past Performance Questionnaire (26RA002).docx

41 KB Posted

Attached to
G6 - Telecom Services
Solicitation number
W912L326RA002
Issued by

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This is a Past Performance Questionnaire template designed to evaluate contractor experience and qualifications for the Wyoming Army National Guard telecommunications services contract (W912L326RA002). The questionnaire is structured to assess a contractor's demonstrated ability to deliver similar services, requiring detailed responses about relevant past performance on comparable projects.

The questionnaire requests information about telecommunications contracts the offeror has performed, including contract duration, scope of work, client references, and specific technical capabilities related to POTS lines, data circuits, account consolidation, and unified billing management. Contractors must provide details on the size and complexity of previous telecommunications service contracts, personnel qualifications, equipment and materials utilized, and customer satisfaction metrics. The form requires identification of key personnel who managed similar contracts, verification of work completion timelines, and contact information for government representatives or private sector clients who can validate the offeror's past performance. This assessment tool allows the Wyoming Army National Guard to determine whether prospective contractors possess the operational experience, technical expertise, and proven track record necessary to successfully manage and maintain consolidated telecommunications services across multiple armories and facilities.

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Other files

File Type Posted
W912L326RA002 RFI Answers.pdf PDF
Solicitation Amendment W912L326RA0020001 SF 30.pdf PDF
A.02 PWS Attach 1B - WYARNG_Telecom_Summaryby_ServiceID.xlsx XLSX spreadsheet
Attach 2 - RFP Instructions (26RA002).pdf PDF
Attach 4 - Basis for Award (26RA002).pdf PDF
Solicitation - W912L326RA002.pdf PDF
Attach 1 - Performance Work Statement (26RA002).pdf PDF

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PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: (Please correct any information below known to be inaccurate)

Contractor’s Name:

Address:

Telephone #:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number and Dollar Amount Provided by Offeror:

Contract Period or Dates of Performance Provided by Offeror:

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: Title:

C. Email COMPLETED SURVEY FORM TO THE GOVERNMENT AT: benjamin.c.taylor.mil@army.mil

D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

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2
3
4
5
6
UNSATISFACTORY/ NO CONFIDENCE
MARGINAL/ LITTLE CONFIDNENCE
SATISFACTOR Y/SATISFACTO RY

CONFIDENCE

VERY GOOD/ SIGNIFICANT CONFIDENCE
EXCEPTIONAL/ HIGH CONFIDENCE
NEUTRAL/ UNKNOWN CONFIDENCE
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
Performance met contractual requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.
Performance met all contract requirements and exceeded many to the government’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

No record of past performance or the record is inconclusive.i

The contractor:

1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
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6
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
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3.
Delegated authority to project managers and supervisors commensurate with contract requirements.
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6
4.
Home office participated in solving significant local problems.
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5.
Followed approved quality control plan.
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Provided effective quality control and/or inspection procedures to meet contract requirements.
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Corrected deficiencies in timely manner and pursuant to their quality control procedures.
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Provided timely resolution of contract discrepancies
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9.
Identified problems as they occurred.
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Suggested alternative approaches to problems.
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11.
Displayed initiative to solve problems.
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Developed realistic progress schedules.
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13.
Met established project schedules.
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14.
Provided timely resolution of warranty defects.
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6
15.
Was responsive to contract changes.
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16.
Provided adequate project supervision.
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17.
Obtained consent of surety for increases in bonding as work-in- progress increased.
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6

G6 – Telecom Services (26RA002) Cheyenne, WY

18.
Paid subcontractors/suppliers in a timely manner.
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19.
Provided accurate and complete line item cost proposals including

all aspects of work required for each task.

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20.
Cooperated with Government personnel after award.
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21.
How would you rate the contractor's overall performance?
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22.
Was the contractor ever issued a cure or show cause notice under the referenced

contract? If yes, explain outcome in “remarks.”

YES/NO

23.
Would you award another contract to this contractor? If not, explain in “remarks.”
YES/NO
24.
Is the contractor rated in CPARS?
YES/NO

Additional Remarks: CONTRACTOR’S NAME:

File details come from the government source that posted it. Updated .