Attachment 0003 Past Performance Questionnaire.docx

CUI

Attachment 0003: Past Performance Questionnaire

W912CH-25-R-0176 - Collapsible Fabric Tanks (3k, 20k, 50k, 210k US gallon) 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 of the company in question, please forward this questionnaire to the person who does. Upon completion of this questionnaire, please forward by email to Lyndsey Pena, lyndsey.m.pena.civ@army.mil & Katherine MacFarland, katherine.e.macfarland.civ@army.mil by the date and time specified for proposal submission. Thank you for your assistance.

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’s 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 Collapsible Fabric Tanks (3k, 20k, 50k, 210k US gallon) 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:

2. Assess the contractor’s performance for quality assurance throughout the production process. Additionally, if applicable, please include any information on any major changes to the product that took place (i.e. change in the material used, etc.), and why the changes were needed.

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

Comments:

3. Assess the contractor’s ability to achieve FAT approval for the Collapsible Fabric Tanks on their initial attempt. Additionally, if any re-testing was required, please include any information on the timeliness of the contractor implementing any corrective actions.

|_| 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.

B. Project Schedule:

1. Assess the timeliness of contractor’s 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 to the delivery schedule and provide comments if any delivery extensions were granted, and why the extensions were needed.

|_| 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 (control 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), 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.

|_| 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 welcomed 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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