Attachment 0003 Past Performance Questionnaire.docx

Attachment 0003 Past Performance Questionnaire Please provide your candid response to the following questions. The information you provide will be used in the awarding of federal contracts. Therefore, it is important your information be as factual and accurate as possible. If you do not have the appropriate knowledge of or experience with the company in question, please forward this questionnaire to the person who does. Upon completion of this questionnaire, please forward by electronic email to Billie Bowmer at billie.l.bowmer2.civ@army.mil. Thank you for your assistance.

PART I. (To be Completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number/Delivery Order:

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

Contract Award Date:

Contract Period of Performance End Date:

Forecasted or Actual Contract Completion:

Place of Performance:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

Rating Scale

In each of the following sections you will find questions where you are asked to rate some aspect of performance on a scale in the below ranges. If possible, PLEASE INCLUDE AN EXPLANATION FOR THE RATING. The criterion for each rating is described below:

Exceptional: Performance meets contractual requirements to the end user or customer’s benefit of a significant magnitude. The contractual performance 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 contractual requirements to the end user or customer’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory: Performance meets contractual requirements. The contractual performance 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 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 contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Too Soon To Tell: No significant or meaningful contract performance has taken place to apply a rating.

Not Applicable: Does not apply to this contract.

PART II. EVALUATION (To be Completed by Point of Contact – Respondent)

1. Effectiveness of Program Management (to include use and control of subcontractors).

To what extent was the contractor effective in managing the program, including its employees and subcontractors, on an overall basis? Please check one answer and provide an explanation for your rating.

· 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 and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

2. Kept Costs within Contracted Totals:

To what extent did the contractor adhere to the contracted costs, on an overall basis? Please check one answer and provide an explanation for your rating.

· Exceptional

· Very Good

· Satisfactory

· Marginal

· Unsatisfactory

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

3. Timeliness of Performance for Services and Product Deliverables:

To what extent did the contractor adhere to the delivery schedules, on an overall basis? Please check one answer and provide an explanation for your rating.

· Exceptional

· Very Good

· Satisfactory

· Marginal

· Unsatisfactory

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

4. Quality of Track Shoe and Sub-components:

To what extent did the contractor’s Vehicular Track Shoe meet requirements, on an overall basis? Please check one answer and provide an explanation for your rating.

· Exceptional

· Very Good

· Satisfactory

· Marginal

· Unsatisfactory

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

PART III. Other Information Sources

Please provide the following information:

1. Please describe any problems or special accomplishments noted regarding the Offeror.

Are you aware of other relevant past efforts by this company with your agency/company?

If yes, please provide the name, telephone number and email of a point of contact.

Comments:

PART IV. Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address: