Attachment 2 - Past Performance Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE FORM

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Instructions

- Sections I through III shall be completed by the Offeror/Major Subcontractor and provide the questionnaire to three (3) Assessors (personnel or organization who have at least five (5) years of production experience using the Plastic Wrapping and Oven Shrinkage Full System from supplier). The Assessor, in turn, shall verify information in Sections I through III and complete Sections V through VII.

The Assessors shall provide the completed questionnaire to the Contracting Officer no later than the date and time indicated below. The Offeror shall submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to Assessors.

- Section II to be validated by the Assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

- Sections III through VII to be completed in their entirety by the Assessor.

Message to the Assessor: Your assistance is requested by the Bureau of Engraving and Printing (BEP) to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Officer respectfully requests that you DO NOT mail hard copies.

Instead, please e-mail the completed questionnaire(s) to: Laqulla.Howard@bep.gov no later than 4:00 PM CST, Friday, July 11, 2024.

I. Solicitation Data (for the proposed effort)

Solicitation Number Project / Requirement

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is correct or incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract Number:

Type of Contract:

Initial Final Contract Value: US $ US $ Period of Performance/Delivery Schedule

Project / Requirement Description

Please select from the following as it applies to this contract:

Contracting Role Prime Contractor

Termination History Convenience Default N/A

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III. Assessor information for Cash PAK System only:

Assessor Name:

Title:

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

Role Period of Involvement Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO) Contract Specialist Contracting Officer Representative (COR)

Technical Project Lead/Project Officer Quality Assurance Specialist Defense Contract Audit Agency (DCAA)

Auditor

Other:

IV. Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements to the buyer’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirement to the buyer’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A)

Performance information not recent or relevant as defined in the Solicitation.

Unable to provide assessment.

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V. Performance Evaluation of Solvents, Delivery and Pickup.

1. Quality of Performance

a. What is your OVERALL assessment of the quality of the contractor’s performance of ordering, scheduling, transport, and delivery of solvents? Were your specifications and expectations met by the contractor?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A Quality of Performance

Please provide rationale for the assigned rating.

b. Assess the Contractor’s quality of performance in the following areas.

Overall quality rating of products ordered for your facility by the vendor.

Functional quality of;

scheduling, transporting and delivery of solvents, please note any specific issues.

Conformance to specification of contract requirements.

Standards of Good Workmanship (Technical, Professional, Environmental, Safety, etc.)

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All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

c. Did the buyer contribute in any way to problems associated with quality as identified in the above assessment? If so, please explain.

2. Schedule Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Quality of

b. Assess the Contractor’s Schedule Performance in the following areas.

Schedule

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Timeliness in Completion of Contract/Task Order/Delivery Schedule.

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Timeliness in providing Bill of Lading.

c. Did the buyer contribute in any way to any of the Schedule problems identified in the above assessment? If so, please explain.

3. Management Performance

a. What is your OVERALL assessment of the Contractor’s Management Performance?

Management

b. Assess the Contractor’s Management Performance in the following areas.

Management

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MANAGEMENT

RESPONSIVENESS –

(timeliness, completeness, and quality of problem identification, quote submittal, history of cooperative behavior, effective business relations, teamwork AND customer satisfaction.

PROGRAM

MANAGEMENT –

(effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices.

MANAGEMENT OF

PERSONNEL – (ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the requirements within delivery schedule.

c. Did the buyer contribute in any way to any of the management problems identified in the above assessment? If so, please explain.

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4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Cost Control

b. Assess the Contractor’s Cost performance in the following areas.

COST CONTROL Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

COST/PRICE

ESTIMATES – (ability to meet quoted costs and whether actual costs/rates realized reflect negotiated costs/rates.

COST EFFICIENCIES

– (realization of any in accomplishing requirements in the

PWS)

INVOICING –

(accuracy and timeliness of submission

FORECASTING /

MANAGEMENT /

COST CONTROL

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VI. Overall Rating of Contractor's performance (technical, schedule, management, and cost) on contract being assessed.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. General Comments:

Assessor’s Signature Date