Attachment 0044 - PM MAV LFSS Past Performance Questionnaire.docx

CUI

Attachment 0044 Past Performance Questionnaire 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 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 darlamae.d.lasky.civ@army.mil and jill.t.wagner.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/Task 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 successful with timely award and effective management of subcontractors, the program, and including its employees, 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

· 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.

3. To what extent did the contractor forecast, order, manage, and supply parts in a timely manner:

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.

4. Timeliness of Performance for Services and Product Deliverables:

To what extent did the contractor perform against the delivery schedules for the contract? Please check one answer and provide an explanation for your rating. In the comments section specify if the contractor met, exceeded or failed to meet contractual delivery dates and if schedule slips occurred, state number of slips.

· 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.

5. Technical Support and Maintenance Experience:

To what extent was the contractor able to recruit, train and retain qualified Field Service Representative (FSR) support for technical support and maintenance? Please check one answer and provide an explanation for your rating.

· Exceptional

· Very Good

· Satisfactory

· Marginal

· Unsatisfactory

· Too soon to tell

· Not Applicable

Comments:

Please provide your narrative assessment for any positive ratings for which the contractor had a positive rating. For any adverse issues please also provide your narrative assessment for 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.

6. New Equipment Training/Displaced Equipment Training (NET/DET):

A) To what extent was the contractor able to recruit, train and retain qualified Field Service Representative (FSR) support for NET/DET? Please check one answer and provide an explanation for your rating.

· Exceptional

· Very Good

· Satisfactory

· Marginal

· Unsatisfactory

· Too soon to tell

· Not Applicable

Comments:

B) To what extent did the contractor deliver effective and technically accurate training to personnel? 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.

7. Deprocessing/MWO Installations:

To what extent did the contractor provide certified welders and adhere to the welding standards and requirements of the contract? 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.

8. Deprocessing:

To what extent did the contractor perform deprocessing activities in accordance with technical manuals and Army/DoD procedures or equivalent? 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.

9. Modified Work Order Installation:

To what extent did the contractor correctly and efficiently perform MWO installations?

· Were technical instructions followed accurately?

· Was configuration management maintained?

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.

10. Quality Management - Standards of Good Workmanship, Final Inspection, and Delivery:

To what extent was the contractor compliant in standards of good workmanship, i.e. quality controls, satisfying the performance requirement? 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.

PART III. Other Information Sources

Please provide the following information:

11. 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:

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 IV. Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address:

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