Attachment 2-Past Performance Questionnaire.pdf

PAST PERFORMANCE

This questionnaire contains Source Selection Information when completed. See FAR 2.101 & 3.104

I. CONTRACT INFORMATION

A. Company Being Evaluated and Contract Information:

Company Name (Specific Division) Company Address

Cage Code or DUNS number Contract Number Task Order/Delivery Order Number (if applicable)

Total Contract Value Total Task Order/Delivery Order Value (if applicable)

Period of Performance Start Date: End Date:

Description of Work Performed (or attached SOW or PWS)

Award/Incentive Fee (provide ratings that the contractor received over the past 5 years

Rating Period: Rating:

Rating Period: Rating:

Rating Period: Rating:

Rating Period: Rating:

Rating Period: Rating:

Rating Period: Rating:

*Please attach available award fee letters

B. Contract Type (Check all that apply):

Check all that apply: Check all that apply:

Prime Contractor Firm Fixed Price Subcontractor Cost Plus Fixed Fee Joint Venture Partner/Team

Member Cost Plus Award Fee

Other: ___________ Time & Materials Other: _______________

II. EVALUATOR(S) THAT COMPLETED QUESTIONNAIRE:

*If possible, please ensure the Technical Customer (PM, COR, QAE) and CO jointly complete/coordinate on the questionnaire.

Name(s) Title(s) Agency/Organization Email Address

Phone Number Role in Program/Contract

III. PERFORMANCE RATINGS & AMOUNT OF WORK PERFORMED (RELEVANCE): Circle or highlight the rating for the appropriate blocks for both “Performance” and “Amount of Work Performed” for each SOW/PWS element listed below using the adjective ratings and definitions above:

E = Exceptional, VG = Very Good, S = Satisfactory, M = Marginal, U = Unsatisfactory, N/A = Not Applicable

SIG = Significant, MOD = Moderate, MIN = Minimal, N/A = Not Applicable

TECHNICAL PERFORMANCE

ELEMENTS

PERFORMANCE RATINGS

From High To Low

E, VG, S, M, U, NA

(Please Circle One)

AMOUNT OF WORK

PERFORMED

From High To Low Sig, Mod, Min, NA

(Please Circle One) 1 Development of 2-stage (or more) parachute decelerator subsystem in which the first parachute is deployed by mortar, and subsequent parachutes are deployed by pilot parachutes.

(Applicable to SOW Section 1.4)

E VG S M U N/A SIG MOD MIN N/A

2 Qualification of 2-stage (or more) parachute decelerator subsystem in which the first parachute is deployed by mortar, and subsequent parachutes are deployed by pilot parachutes.

(Applicable to SOW Section 1.4)

E

VG S M U N/A SIG MOD MIN N/A

3 Use in Flight of 2-stage (or more) parachute decelerator subsystem in which the first parachute is deployed by mortar, and subsequent parachutes are deployed by pilot parachutes.

(Applicable to SOW Section 1.4)

E VG S M U N/A SIG MOD MIN N/A

IV. General Performance Questions: Assess the contractor’s general performance in areas identified below. Additional pages may be used for comments if desired. Please keep in mind that only performance in the past fifteen (15) years is relevant to our procurement. If you cannot answer any questions, please circle Not Applicable (N/A).

GENERAL PERFORMANCE AREAS

PERFORMANCE RATING

From High To Low

E, VG, S, M, U, N/A

(Please Select One)

1) Quality of Services

E VG S M U N/A

2) Schedule E VG S M U N/A

3) Cost Control

E VG S M U N/A

4) Management E VG S M U N/A

5) Small Business Subcontracting

E VG S M U N/A

6) Regulatory Compliance

E VG S M U N/A

7) E VG S M U N/A

8) E VG S M U N/A

9) Would you award another contract to this company for the same or similar work?

Other Comments: Are there any other comments you may feel are pertinent (e.g. strong or weak points in performance of this contract):

Rate the contractor’s overall performance under this contract E VG S M U N/A