Attachment 0005 - Performance Assessment Questionnaire - ADA IR.docx

Performance Assessment Questionnaire – Cover Letter

January 14, 2025

SUBJECT: Offeror Past Performance Assessment in Support of Task Order Proposal Request (TOPR) W519TC-25-R-0027 for ADA IR

Dear Sir/Ma’am, Army Contracting Command – Rock Island is currently conducting a competitive source selection to evaluate offerors on the subject TOPR. As part of this evaluation, it is 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 the North American Industry Classification System [NAICS] 518210 – Data Processing, Hosting, and Related Services. 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 it via email to the ACC-RI Contracting Officer, Brian Schou [brian.j.schou.civ@army.mil] and Contract Specialist, Hila Anderson [hila.r.anderson.civ@army.mil], no later than date specified by the requestor. Please copy furnish the contractor point(s) of contact that initiated this request for their awareness and confirmation of submission, as it will be included in their Past Performance Volume ACC-RI will be evaluating.

Your cooperation is greatly appreciated.

Sincerely, Brian J. Schou Contracting Officer, ACC-RI

Performance Assessment Questionnaire

INSTRUCTIONS: Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does (and/or) notify the Contracting Officer. Please return the completed Questionnaire to the Contracting Officer and Contract Specialist identified in the cover letter within the stated timeframe.

Recency: A measure of the elapsed time since the past performance reference occurred. Recency is generally expressed as a time period during which past performance references are considered relevant.

Relevant: A measure of the extent of similarity between the service/support effort, complexity, dollar value, contract type, and subcontract/teaming or other comparable attributes of past performance examples and the solicitation requirements; and a measure of the likelihood the past performance is an indicator of future performance.

Not Relevant: The performance effort involved has little to none of the scope and the magnitude of the effort and complexity the solicitation requires.

Rating Definitions

Substantial Confidence: Based on the offeror’s recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort.

Satisfactory Confidence: Based on the offeror’s recent/relevant performance record, the Government has reasonable expectation that the offeror will successfully perform the required effort.

Neutral Confidence: No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonablely assigned. The offeror may not be evaluated favorably or unfavorably on the factor of past performance.

Limited Conficence: Based on the offeror’s recent/relevant performance record, the Government has a a low expectation that the offeror will successfully perform the required effort.

No Confidence: Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

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:

Total Contract Value:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

PART II. EVALUATION (To be completed by Point of Contact – Respondent) *Note: rationale is required for each response.

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

Choose One:

☐ Substantial Confidence ☐ Satisfactory Confidence ☐ Neutral Confidence ☐ Limited Confidence ☐ No Confidence

Rationale:

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

☐ Satisfactory Confidence ☐ Neutral Confidence ☐ Limited Confidence

C. Timeliness of Performance for Services and Product Deliverables.

☐ Satisfactory Confidence ☐ Neutral Confidence ☐ Limited Confidence ☐ No Confidence

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

☐ Satisfactory Confidence ☐ Neutral Confidence ☐ Limited Confidence

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

☐ Satisfactory Confidence ☐ Neutral Confidence ☐ Limited Confidence

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

Comments:

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

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:

Point of Contact (Name):

Telephone Number:

H. Respondent Identification. Please provide the following information:

PART III. RETURN INFORMATION

Please return this completed Questionnaire to the Contracting Officer and Contract Specialist identified in the cover letter.

Thank you for your assistance!