Attachment 0003 Past Performance Questionnaire_signed.pdf

Offeror Past Performance Assessment

DEPARTMENT OF THE ARMY

ARMY CONTRACTING COMMANDABERDEEN PROVINGGROUND

BELVOIR DIVISION

10205 BURBECK ROAD

FORT BELVOIR, VA 22060-5863

Army Contracting Command – Aberdeen Proving Ground 02 June 2022

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) Number W909MY-22-R-0009

Dear Sir/Ma’am:

The US Army Contracting Command Aberdeen Proving Ground Belvoir Division is currently conducting a task order evaluation to evaluate Offerors on subject RFP. As part of this evaluation, we have requested that the Offerors provide information about their past performance on same or similar federal, state or local government or commercial contracts as compared to North American Industry Classification System (NAICS) 335312. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation.

Please complete the enclosure and return to the Contracting Officer, darbye.t.rivera.civ@army.mil, with a carbon copy to the Contract Specialists, jessica.l.hawkins27.civ@army.mil, no later than 15 days after receipt of request or solicitation closing (25 July 2022) whichever occurs first.

Your cooperation is greatly appreciated. Questions may be directed to POC or the undersigned at darbye.t.rivera.civ@army.mil.

Darbye Rivera Contracting Officer mailto:Shahaadah.C.Nalls.civ@mail.mil mailto:Kendall.J.Spann.civ@mail.mil

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

Contractor: Contract No.:

Subcontract No. (if applicable):

POC: Title:

(Name) (E.G. PCO/ACO/TM)

(Agency, Telephone No., E-mail Address & Fax Number)

The following questions pertain to the contractor’s record of past (within the past five years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following acceptable and unacceptable ratings shall be used in your response.

Outstanding: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

A. CONTRACT IDENTIFICATION

Contract Type:

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

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

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

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

B. Effectiveness of Project Management (to include use and control of subcontractors).

C. Timeliness of Performance for Services and Product Deliverables.

Comments:

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

Are you aware of other relevant past efforts by this company?

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

Organization:

Name:

Title:

Date:

Telephone Number Address:

E-mail Address:

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

F. General Comments. Provide any other relevant performance information.

G. Other Information Sources. Please provide the following information:

H. Respondent Identification. Please provide the following information:

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer identified in the cover letter.

Thank you for your assistance.

Signature Date

Typed or Printed Name