Attachment 13 Past Performance Information and Questionnaire.docx

Section L: Attachment 13 Past Performance Information

PERFORMANCE INFORMATION

Provide the information this format requests for each program you describe below. Provide comments regarding your performance on the relevant programs you identify.

A. Company Name (Company/Division/Team Member):

B. Program Title:

C. Contract Specifics:

1. Contract Number:

1. Contract Type:

1. Period of Performance:

1. Contract $ Value:

D. Brief Description Products and Efforts:

Agency Supported:

Scope of Participation: Prime 1st Tier Sub 2nd Tier Sub Other

F E. Primary Points of Contact: (Please provide current information on all individuals)

1. Customer Program Manager: (If scope of participation was as a subcontractor or was a commercial contract, provide Contractor’s PM or equivalent employee’s information) Name: ____________________ Office:

Address:

Phone:

Email: ____________________

1. Procuring Contracting Officer (PCO) or Contract Administrator (if commercial):

Name: _______________________ Office:

Address:

Phone:

Email: ___________________

F. Address your execution of the program in terms of cost, schedule, and performance.

1. Describe the work performed and your business processes and procedures employed relative to the primary functional areas critical to the execution of the SOW.

1. Address any technical (or other) area about this program considered unique.

1. Address issues of complexity relative to the cited program.

1. Identify any significant problems encountered on the program and demonstrated corrective action taken.

In addition, the Government reserves the right to use alternative resources to gather past performance information.

Section L: Past Performance Questionnaire

PAST PERFORMANCE QUESTIONAIRE

SOLICITATION NUMBER: ____________________

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 3.104

Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. Scan and email the completed questionnaire to:

APG, MD 21010, USA

Explanation of codes:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Governments benefit. The contractual performance of the elements 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 of the element 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 of the element 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 of the element 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 of the element being assessed contains serious problem(s) for which the contractor’s corrective actions were ineffective.

N NOT APPLICABLE – Unable to provide a score. Performance in this area is not applicable to effort assessed.

Please complete the following identifying information and past performance assessment:

A. Contractor: _______________________________________________

B. Contract number: ___________________________________________

C. Period of Performance: ______________________________________

D. Negotiated price or cost at award: ______________________________

E. Current estimated contract dollar amount: ________________________

F. Describe product acquired: ______________________________________

When Completed – Source Selection Information – See FAR 3.104

Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

ASSESSMENT ELEMENTS

(1) Contractor’s record of project management, manufacturing, non-clinical work, clinical work, consulting, etc. (as applicable) E V S M U N

(2) Did the contractor deliver according to the agreed-to schedule? What were the causes of any schedule variances? Did the contractor require assistance to resolve any schedule problems?

E V S M U N

(3) How well did the contractor proactively manage schedule/performance/cost and risks?

E V S M U N

(4) What is your overall rating of the contractor’s performance?

E V S M U N

(5) Contractor’s cost control. Did the contractor deliver at the agreed-to cost/price? Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, customer-imposed schedule changes, etc.)

E V S M U N

(6) Identify the contractor’s overall strengths and weaknesses.

(7) Given the choice, would you award to this contractor again? Explain.

(8) Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

(9) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.

(If more comment space is needed, write on back, or attach pages.)

(10) Please provide organization, name, title, address, email, and phone number of the person completing this questionnaire.

Email____________________________________________ Phone________________ FAX________________________

CUI