Attach 3_Past Performance Questionnaire.pdf

ATTACHMENT 3: PAST PERFORMANCE QUESTIONNAIRE TEMPLATE

Instructions:

Sections I through II are to be completed by the Offeror and provided to the assessor (customer point of contact with experience on the effort). The assessor, in turn, is to verify Sections I through III, complete the questionnaire, and submit it directly to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the solicitation) copies of the Past Performance Questionnaires with Sections I though III completed, as submitted to customers.

Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

Sections III through VII are to be completed in their entirety by the assessor.

Message to the assessor: Your assistance is requested by the USMC to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to:

marina.a.simmons@usmc.mil

I. Solicitation Data (for the proposed effort)

Solicitation Number M68909-21-R-7903

Project/Requirement Operations Maintenance and Technical Services

(OMTS)

Customer/Agency Amphibious Vehicle Test Branch

Project/Requirement Description The contractor shall provide personnel with suitable technical and analytical expertise to perform support in the following functional areas Scuba Diving Services, Emergency Medical Services, Watercraft Operation and Maintenance Services, Heavy Equipment Operation and Maintenance Services, Communications Equipment Operation and Maintenance Services, Welding and Machining Services, Technical Editing Services, Electronics Support Services, Media Support Services, Engineering Support Services, IT Support Services and Data Collection Services.

II. Current or Historical Contract Information

Assessor: The information listed below is Correct Incorrect.

CONTRACTOR

NAME & ADDRESS:

Contract Number

Type of Contract

Initial Final mailto:marina.a.simmons@usmc.mil

Contract Value

Performance Period Delivery Schedule

Project/Requirement Description

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

Contracting Role PRIME

SUBCONTRACTOR

Termination History Convenience

Default 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.

Role Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Other (Specify)

IV. Evaluation Definitions

Use the following definitions in your assessment of contractor performance.

EXCEPTIONAL

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

VERY GOOD

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

SATISFACTORY 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

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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

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.

V. Performance Evaluation

1. Quality of Performance

a. What is your OVERALL assessment of the quality of the contractor’s performance?

Exceptional Very Good

Satisfactory Marginal Unsatisfactory N/A

Quality of Performance

Please provide the rationale for your assigned rating, especially if it is Exceptional, Marginal or Unsatisfactory.

2. Schedule Performance (Timeliness)

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

Please provide your rationale for the assigned rating, especially if it is Exceptional, Marginal or

Exceptional

Very Good

Satisfactory Marginal Unsatisfactory N/A

Schedule

3. Management Performance

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

Satisfactory Marginal Unsatisfactory N/A

Management

Please provide rationale for assigned rating, especially if it is Exceptional, Marginal or

4. Cost Control

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

Satisfactory Marginal Unsatisfactory N/A

Cost Control

Please provide your rationale for the assigned rating, especially if it is Exceptional, Marginal or

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

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. Would you recommend this offeror or use them for future work?

Assessor’s Signature Date