Attachment 06 - ADA-T Past Performance Questionnaire.docx

ATTACHMENT 06

Past Performance Risk Assessment Past Performance Questionnaire

ARMY CONTRACTING COMMAND - ORLANDO

W900KK-21-R-0029

SUBJECT: Offeror Past Performance Risk Assessment in Support of Request for Proposal (RFP) W900KK-21-R-0029 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) 336411 Aircraft manufacturing. 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. Wayne Fagan at wayne.j.fagan.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:

PART I. (To be completed by the Offeror) 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:

SOURCE SELECTION INFORMATION (SEE FAR 3.104)

A. CONTRACT IDENTIFICATION

Performance Confidence Assessments

B. Aerial target / unmanned aerial vehicle (UAV) design, testing and prototyping.

A. Aerial target / unmanned aerial vehicle (UAV) production.

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.

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

· No Confidence Rationale:

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

· No Confidence Rationale:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

C. Aerial target / unmanned aerial vehicle (UAV) operations and maintenance in support of Department of Defense training, research, development, and/or test operations on U.S. Government and/or Allied Government ranges.

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

· No Confidence

Rationale:

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

Comments:

E. 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:

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.

SOURCE SELECTION INFORMATION (SEE FAR 3.104)

F. Respondent Identification. Please provide the following information: