Attachment 12 Past Performance Question. Final.docx
DOCX document 40 KB Posted
- Attached to
- CENTCOM Industrial Gas Program
- Solicitation number
- SPE4A624R0172
- Issued by
-
Defense Logistics Agency Aviation
About this file
This document is a Present/Past Performance Questionnaire related to RFP SPE4A6-24-R-0172, which is a request for proposal for providing industrial compressed and liquefied gases to support U.S. Military forces in the U.S. Central Command (CENTCOM) area of operations.
The questionnaire solicits information about the contractor's past performance, including the extent to which the contractor's products/services met the specification/performance requirements, quality of completed work, management of subcontracting efforts, customer satisfaction, availability of dedicated resources, timeliness of problem recognition and notification, and the contractor's ability to complete work on schedule and respond to unscheduled requirements. The questionnaire also asks whether any contract termination or disputes have occurred. The responses are rated on a scale from Unsatisfactory to Exceptional. The information provided in this questionnaire will be used for the source selection process and is not to be released to the offeror.
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Text version
PRESENT/PAST PERFORMANCE QUESTIONNAIRE – RFP SPE4A6-24-R-0172
PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT YOURSELF:
Name/Signature and Role Relative to Contract (e.g. Buyer, Program Manager):_____________________________________________________________________________________________ Agency or Business: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Address: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Telephone No. _______________________________ FAX No. ____________________________________
Return your completed questionnaire by email. See Section L of the solicitation for appropriate email address.
NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL NOT BE RELEASED TO THE OFFEROR.
PART I. SPECIFIC PROGRAM INFORMATION.
Contractor/Business: _____________________________________________ CAGE Code: __________
Program Title and Brief Description: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Role in the Program/Work Performed As: _____Prime _____Subcontractor _____Vendor/Supplier
Contract Number: ________________________________ Number of Years?: Basic:________ Option: _________
Contract Type(s): List all applicable contract types, i.e. Firm-Fixed-Price, Time & Materials, Cost, etc._________________________________________________________________________________________________________
PART II. GENERAL PROGRAM INFORMATION.
Period of Performance:
1. Original Schedule (assuming all options exercised): Beginning Date _________ through ____________
2. Current Schedule (assuming all options exercised): Beginning Date _________ through ____________
3. Reason for difference (if applicable) ___________________________________________________________________________
Contract Dollar Value:
1. Original MAX Contract $ Value (assuming all options are exercised: _________________________________________
| 2. Current MAX $ Value (assuming all options exercised): ____________________________________________________ |
| 3. Primary Causes of Changes: ___________________________________________________________________________ |
NOTE: In Part III, should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 3.
PART III.PERFORMANCE ASSESSMENTS.
Please check the appropriate rating for each of the following questions (see definitions on page 4):
N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory V=Very Good E=Exceptional
| N/A |
| U |
| M |
| S |
| V |
| E |
1. Extent to which Company’s products and/or services met the specification /performance requirements:
2. Quality of Completed Product:
3. Overall management of subcontracting efforts:
4. Customer’s Satisfaction with vendor response times and corrective actions:
5. Adequate Number of Dedicated Resources For Your Program:
6. Timely recognition and notification of administrative, engineering, production, problems affecting the program:
7. Company performed independently without significant customer direction/oversight?
8. Monitoring of Program Schedules and Critical Milestones:
9. Completed Work on Time:
10. Company demonstrated positive responsiveness to unscheduled requirements or contract changes:
11. Has action been initiated to cancel or terminate the contract for default? If yes, explain. ________________________________________________________________________________________________________________________________________________________________________________________________________________________
12. Have there been any disputes/claims relative to the contract? If yes, explain.
13. Describe the contractor’s or company’s strong and/or weak points identified as a result of technical performance and any technical performance risk identified during the life of the contract.
14. If given a choice, would you award to this contractor again? If not, please explain. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
15. Do you feel you “got what you paid for”? Please explain. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
18. Additional Remarks.
ASSESSMENT RATING SYSTEM
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.
N/A-- 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.
NOTICE TO QUESTIONNAIRE RESPONDENTS: Please do not include this page when returning the completed questionnaire.
SOURCE SELECTION INFORMATION
SEE FAR 2.101 AND 3.104 FOR OFFICIAL USE ONLY Page 2
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