Attachment 006 - Past Performance Questionnaire.docx
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- W90BRJ-22-R-0006
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Past Performance Assessement
Performance Assessment Questionnaire – Cover Letter
(Insert ACC-RI Letterhead)
(Insert Date)
SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) W90BRJ-22-R-0006
Dear Sir/Ma’am, The US Army Contracting Command – Rock Island is currently conducting a competitive source selection to evaluate offerors on the subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on recent and relevant federal, state, or local government or commercial contracts as compared to the North American Industry Classification System [NAICS] 488190. 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 no later than 15 days after receipt of request or (insert date), whichever occurs first. Submit your completed questionnaire to lorraine.Geren.civ@army.civ and Alexis.K.Crotty.civ@army.mil.
Your cooperation is greatly appreciated. Questions may be directed lorraine.geren.civ@army.mil and Alexis.K.Crotty.civ@army.mil
Sincerely, Derek M. Schnorrenberg Contracting Officer
Performance Assessment Questionnaire
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 or notify the Contracting Officer. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within the stated timeframe.
Rating Definitions:
Substantial Confidence: 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. The offeror has been highly successfully in performing the required effort.
Satisfactory Confidence: 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. The offeror has successfully performed the required effort.
Limited Confidence: 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. The offeror has had little success performing the required effort.
No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed 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
Name:
Title:
Date:
Telephone Number:
Address:
E-mail Address:
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
· Substantial Confidence
· Satisfactory Confidence
· Limited Confidence Comment by Darland, Lukas K CIV: Since this is a questionnaire to be sent out, I removed this. Or should we leave it in since we made neutral part of the evaluation factor rating above? I was viewing this questionnaire as separate confidence ratings from how the evaluation team will evaluate PP taking into account these questionaires. Therefore “Neutral” is also not defined in the confidence rating definitions above on the questionnaire. Please advise if this is incorrect due to lack of consistency regarding the PP evaluation team rating criteria and this questionnaire. Comment by Peggy Hake: Whatever you want. Comment by Peggy Hake: This is in Table 3
"No recent/relevant performance record is available, or the Offeror's performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. The Offeror may not be evaluated favorably or unfavorably on the factor of past performance"
· No Confidence
Rationale: __________________________________________________________
B. Effectiveness of Project Management (to include use and control of subcontractors).
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
C. Timeliness of Performance for Services and Product Deliverables.
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
D. Effectiveness in Forecasting and Controlling Estimated Costs.
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
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:
Organization:
Title:
Date:
Telephone Number
E-mail Address:
PART III. RETURN INFORMATION
Please return this completed Questionnaire to the Contracting Officer identified in the cover letter.
Thank you for your assistance.
Performance Assessment Questionnaire – Telephone Interview
Contractor: ____________________ Contract No.:____________________________ Subcontract No. (if applicable):_________________________________
| POC:________________________ | Title: ________________________ | |
| (Name) | (E.G. PCO/ACO/TM) |
(Agency, Telephone No., E-mail & Facsimile No.)
If conducting a telephone interview:
“Hello, I am ______________________. I am calling in reference to Contract ____________________ with a company called ________________________. My questions will pertain to the contractor’s record of past, which is defined as within the past three 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. A summary of this discussion may be sent to you for your records.
Please provide examples and/or explanations, and utilize the following ratings:
Rating Definitions:
Substantial Confidence: 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. The offeror has been highly successfully in performing the required effort.
Satisfactory Confidence: 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. The offeror has successfully performed the required effort.
Limited Confidence: 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. The offeror has had little success performing the required effort.
No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed the required effort.
PART I. 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
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
B. Effectiveness of Project Management (to include use and control of subcontractors).
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
C. Timeliness of Performance for Services and Product Deliverables.
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
D. Effectiveness in Forecasting and Controlling Estimated Costs.
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
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:
Organization:
Title:
Date:
Telephone Number
E-mail Address:
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