Attachment 1 - Past Performance Questionnaire.pdf

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Attached to
MHU-191 Transporter Assemblies FY25
Solicitation number
N0017425R1006
Issued by

About this file

This document is a Past Performance Questionnaire for Solicitation Number N00174-25-R-1006, designed to collect performance feedback about a contractor's previous work. The questionnaire provides a detailed rating scale with evaluation criteria ranging from Exceptional to Unsatisfactory, allowing the reviewing agency to assess a contractor's performance across multiple dimensions including customer satisfaction, timeliness, technical success, program management, and overall quality. The form requires the evaluating agency to rate the contractor's performance in specific areas and provide subjective comments about recommending the contractor for future similar contracts or highlighting any unique problems encountered during the contract period.

The questionnaire is to be submitted to the Naval Surface Warfare Center, Indian Head Division (NSWC IHD) at 4081 North Jackson Road in Indian Head, Maryland, with contact email Kimberly.s.hall31.civ@us.navy.mil. The document is marked as Source Selection Information and references Federal Acquisition Regulation (FAR) sections 2.101 and 3.104, indicating it is part of a formal federal contract evaluation process. The form includes sections for detailed performance ratings across categories like customer satisfaction, timeliness, technical success, program management, and quality, with space for both quantitative ratings and qualitative feedback about the contractor's performance.

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SOURCE SELECTION INFORMATION

See FAR 2.101 and 3.104

ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION NUMBER N00174-25-R-1006

Offeror’s Name:

Name of agency/activity completing questionnaire:

Name and title of the person completing questionnaire:

Contract Number/Period of Performance: __________________________________________________

Length of time your agency/activity has been involved with the Offeror:

Brief description of the services provided by the Offeror:

SUBMIT PAST PERFORMANCE QUESTIONNAIRE PRIOR TO THE CLOSING DATE OF THE

SOLICITATION TO:

Naval Surface Warfare Center Indian Head Division (NSWC IHD) 4081 North Jackson Road Room 125, Code 022.1.5 Indian Head, MD 20640-5115

Kimberly.s.hall31.civ@us.navy.mil

RATING SCALE

Please use the following ratings to answer the questions.

EVALUATION CRITERIA

Exceptional: Performance meets contractual requirements and exceeds many to the customer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective.

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

mailto:Kimberly.s.hall31.civ@us.navy.mil

Satisfactory: Performance meets contractual requirements. The element being assessed 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 element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

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

NEUTRAL - The Offeror lacks a relevant past performance record or past performance information is not available or cannot be determined. The Offeror will not be evaluated favorably or unfavorably on past performance.

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CUSTOMER SATISFACTION

The referenced contractor was responsive to the customer’s needs.

The contractor’s personnel were qualified to meet the requirements.

The contractor’s ability to accurately estimate cost.

TIMELINESS

The contractor’s ability to ensure, to the extent of its responsibility, that all tasks were completed within the requested time frame.

TECHNICAL SUCCESS

The contractor had a clear understanding of the tasks detailed in the SOW and/or delivery orders.

The contractor’s ability to complete tasks correctly the first time.

The contractor’s ability to resolve problems.

PROGRAM MANAGEMENT

Did the contractor successfully manage its subcontractors?

Was the contractor’s management effective in controlling cost, schedule and performance requirements?

QUALITY

The contractor’s quality and reliability of services delivered.

OVERALL

Please assign an overall rating for the contractor’s work performed.

PLEASE PROVIDE SUBJECTIVE RESPONSES FOR THE FOLLOWING:

1. Would you recommend this contractor for similar contracts? Please explain:

2. Have you experienced special or unique problems with the referenced contractor that the Government should be aware of in making our decision?

FOR SOLICITATION NUMBER N00174-25-R-1006
Offeror’s Name:
Name of agency/activity completing questionnaire:
Naval Surface Warfare Center
RATING SCALE
UNSATISFACTORY
MARGINAL
SATISFACTORY
VERY GOOD
EXCEPTIONAL

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