Attachment 04 - ATFS-4 Past Performance Questionnaire.pdf

ATTACHMENT 04

Past Performance Assessment

Past Performance Questionnaire

ARMY CONTRACTING COMMAND - ORLANDO

W900KK-21-R-0002

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal

(RFP) W900KK-21-R-0002

Dear Sir/Ma’am, The US Army Contracting Command – Orlando (ACC-O) 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] 541990, “All Other Professional, Scientific, and Technical 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 to Army Contracting Command – Orlando, 12211 Science Drive, Partnership II, 5th Floor, Orlando, FL 32826 no later than 15 days after receipt of request. Submit your completed questionnaire to Mr. Thomas Halverson at thomas.l.halverson.civ@mail.mil.

Your cooperation is greatly appreciated. Questions may be directed to the undersigned at (407) 208-5868 and/or jason.jerome3.civ@mail.mil.

Sincerely, Jason Jerome Contracting Officer

SOURCE SELECTION INFORMATION (SEE FAR 3.104)

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 [and/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: 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 a reasonable expectation that the offeror will successfully perform the required effort.

Limited Confidence: Based on the offeror’s recent/relevant performance record, the Government has 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

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. Operating aerial targets / UAV.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence

Rationale: __________________________________________________________

B. Providing logistical support required to conduct aerial targets / UAV’s missions.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence

Rationale: __________________________________________________________

C. Conducting maintenance and pre-flight operations for aerial targets / UAVs.

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence

Rationale: __________________________________________________________

D. Performing quality assurance with aerial target / UAV pre-flight / flight / post flight operations.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence

Rationale: __________________________________________________________

E. Obtaining and training an aerial target / UAV support staff

Substantial Confidence Satisfactory Confidence 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:

Name:

Title:

Date:

Telephone Number Address:

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.