Attachment 0002 - Past Performance Questionnaire.docx

CUI

Attachment 000X: Past Performance Questionnaire

[Solicitation Number] [Program Name] Please provide your candid response to the following questions. The information that you provide will be used in the awarding of federal contracts. Therefore it is important that your information be as factual and accurate as possible. If you do not have the appropriate knowledge with the company in question, please forward this questionnaire to the person who does. Upon completion of this questionnaire, please forward by email to [name], [email] by [date]. Thank you for your assistance. Comment by Hessell, Dawn M CIV USARMY ACC (USA): Contract Specialist and/or Contracting Officer

PART I - IDENTIFICATION (To be completed by the Offeror)

A. RELEVANT CONTRACT

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract/Task Order Number:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Contract Period of Performance End Date:

Forecasted or Actual Contract Completion:

Place of Performance:

Brief Description of the Relevant Contract Scope:

B. OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

PART II - EVALUATION (To be completed by Respondent’s Point of Contact)

RATING SCALE & DEFINITIONS

Table 1 identifies the rating scale and descriptions. Please apply the rating that most closely matches your assessment for each area of consideration listed below. Please include a written narrative for each rating applied, utilizing the adjectival rating definition in Table 1.

Table 1

A. Quality

1. Assess the contractor’s quality and workmanship of the parachutes in accordance with the contract terms and conditions. (i.e. to Government technical data package, technical specifications, testing).

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Too soon to tell |_| Not Applicable

Comments:

For any adverse issues, give your assessment of the extent to which the contractor was at fault (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

2. Assess the contractor’s xxx Comment by Hessell, Dawn M CIV USARMY ACC (USA): Any additional questions you need information on in the Quality area.

B. Project Schedule:

1. Assess the timeliness of contractor performance for Product Deliverables: To what extent did the contractor adhere to the original contract delivery schedules (unless the delivery schedule was revised due to fault of the Government) on an overall basis. Please include the contractor’s efforts that contributed negatively or Positively positively to the delivery schedule and provide comments if any Ddelivery extensions were granted, and why the extensions were needed.

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Too soon to tell |_| Not Applicable

Comments:

For any adverse issues give your assessment of the extent to which the contractor was at fault (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

C. Management / Business Relations:

1. Program Management: Assess the contractor’s timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, Engineering Change Proposals (ECPs), or other UCAs), the contractor's history of reasonable and cooperative behavior, effective business relations, and customer satisfaction. Consider the contractor’s responsiveness to the program as it relates to meeting contract/order requirements during the period covered by the report. Comment by Goepper, Craig A CIV USARMY ACC (USA): Spell out the acronym, first time used Comment by Goepper, Craig A CIV USARMY ACC (USA): Do we want to know about contractor's history of performance re this area of consideration, or only for the contract being assessed?

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Too soon to tell |_| Not Applicable

For any adverse issues give your assessment of the extent to which the contractor was at fault (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

2. Subcontract Management: Assess the contractor’s success with timely award and management of subcontracts. What efforts were taken to ensure early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime contractor performance.

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Too soon to tell |_| Not Applicable

For any adverse issues give your assessment of the extent to which the contractor was at fault (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

D. General Comments:

Any additional information, which your organization deems relevant or important, is welcome by our evaluation team. Please provide any other relevant or important performance information.

PART III - RESPONDENT IDENTIFICATION

Please provide a point of contact who compiled or completed this questionnaire and who, if needed, may be contacted by our evaluation team regarding the information provided in this questionnaire.

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

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