Attach 6 - Past Performance Questionaire.docx

Prime Offeror:___________________________________________ H9240224R0001

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

E. Was this a competitive contract? Yes/ No:

F. Period of performance (From and To):

G. Initial contract cost: $

H. Current/final contract cost: $

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e., local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's email/phone number:

D. Number of year’s evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E Exceptional – 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 was highly effective.

VG Very Good – 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 Contactor was effective.

S 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.

M Marginal – 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.

U 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.

The questions shown below should be tailored to the Factors/Sub-factors of the instant acquisition.

T1. How well did the contractor meet the technical requirements of the statement of work?

SUPPORTING INFORMATION:

T2. How many of the FTEs on the contract were for analyst or technical positions rather than administrative / training, or operational support? Please use numbers in supporting information and disregard performance level here only

P1. How effective was overall contract management (including ability to effectively lead, manage, control and deliver on-time)?

P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)?

P3. How timely and effectively did the contractor resolve contract problems without extensive customer guidance?

P4. How well did the contractor understand/comply with customer objectives and technical requirements?

P5. How effective and timely was the contractor in responding to emergency and/or surge situations?

P6. How well did the contractor manage quality/effectiveness of subcontracted efforts?

T1. How smoothly did the contractor transition resources and personnel?

T2. How effective was the contractor in maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts?

E1. How successful was the contractor in hiring and applying a qualified workforce to this effort?

E2. How successful was the contractor ability to retain a qualified workforce on this effort?

SUPPORTING INFOR MATION:

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email Address:

LTC Marsha Leventry, Deputy Chief of Contracts, Contracting Officer at marsha.leventry@socom.mil

Amy Jaskela, Contracts Specialist, amy.c.jaskela.civ@socom.mil