Attachment 1 - Past Performance Questionnaire.pdf

DEPARTMENT OF THE ARMY

HEADQUARTERS, UNITED STATES ARMY SPECIAL OPERATIONS COMMAND

2929 DESERT STORM DRIVE

FORT LIBERTY, NC 28310-9110

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) H92239-24-R-0007 – US Army Special Operations Aviation Training

Dear Sir/Ma’am, The United State Army Special Operations Command (USASOC) is currently conducting a competitive source selection to evaluate offerors in the subject RFP. As part of this evaluation, we have 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 Code (NAICS) 611512 “Flight Training.” Relevant past performance may include any experience related to program and operations management, flight instructional support, training development, and logistical and technical support provided by the Contractor listed herein.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the USASOC HQ, BLDG E2929, Desert Storm Dr., Fort Liberty, NC 28310. ATTN: Justin Burke or send via email to justin.burke@socom.mil, no later than 21 October 2024.

Your cooperation is greatly appreciated.

Justin W. Burke Contracting Officer

HQ, USASOC

PAST PERFORMANCE QUESTIONNAIRE

US Army Special Operations Aviation Training

H92239-24-R-0007

NOTICE: Once completed, this questionnaire will be considered sensitive and shall NOT be released to the offeror.

Section 1: Contract Identification

Section 2: Customer or Agency Identification

1. Customer or Agency Name: __________________________________________________

2. Customer or Agency Description (if applicable): __________________________________

3. Place of Contract Performance: ________________________________________________

Section 3: Evaluator Identification

1. Name: ____________________________________________________________________

2. Title/Role: _________________________________________________________________

3. Contact Information: Email: ____________________________Phone: _________________

4. Amount of time evaluator worked on Subject contract: _______________(years/month/days)

1. Contractor’s Name: _________________________________________________________

2. Contract Number (for Past Performance Reference): _______________________________

3. Contractor’s Role in the Contract: Prime ______ Subcontractor______ (check which applies)

4. Cage Code: _____________

5. Contract Type: ____________________

6. Was this a competitive contract? Yes _________ No _________

7. Period of Performance: to ______________________________________________________

8. Initial Contract Cost: $_________________________

9. Current/Final Contract Cost: $________________________

10. Reason for Cost Difference (if any): $_______________________

11. Description of Services Provided:

Section 4: Evaluation

Please indicate your satisfaction level with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided below.

Code Reference Guide E: Exceptional- Performance meets contractual requirements and exceeds many requirements to the

Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V: Very Good- Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S: Satisfactory- Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M: Marginal- Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U: Unsatisfactory- Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NA: Not Applicable- Did not apply to this acquisition; or questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

Program & Operations Management Effectiveness of overall contract management Timely and effective contract performance/conformance problem resolution Quality Control standards and methods

Flight Instructional Support Compliance with applicable local and federal policies, laws, regulations, and Standard Operating Procedures Conformance to Performance Work Statement (PWS) requirements Provide instructors to execute rotary wing flight and/or flight simulator training

Training Development Develop training media and publications Create Program of Instruction (POI) approved by Organization Conduct Quality Assurance of instructional material

Logistical and Technical Support Ability to hire and retain a highly capable workforce Maintained qualifications, certifications, and clearances of Contractor personnel

Additional Information:

1. If you indicated a rating of M (Marginal) or U (Unsatisfactory) for any of the above sections, please give a brief explanation of why:

2. Government Contracts Only:

Has/was this contract been partially or completely terminated for default? Yes ___ No ___ Has/was this contract been partially or completely terminated for convenience? Yes ___ No ___ Are there any pending terminations? Yes ___ No ___ If you answered yes to any of the above, please explain:

Section 5: Narrative Summary

Would you have any reservations about soliciting this contractor, or having them perform one of your critical and demanding programs, in the future? Yes _____ No ______

Please provide any additional comments that you have concerning the Contractor’s performance in the space provided:

Evaluator Signature Date