Attachment 2 - Questionnaire Past Performance.docx

ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

Army Contracting Command – Sierra Army Depot, CA

The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting quotes in response to W912GY-21-Q-0012 – Sierra Army Depot (SIAD) for delivery of aggregate of various sizes (¾” base rock, 1½” base rock, 3” base rock, 6” base rock, 3/8” washed pea gravel, 3/8” washed chip rock), railroad ballast #4 AREMA 2” x 3”, and hot mix asphalt. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

a. Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.

b. Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.

c. Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.

d. Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.

Due to time constraints, it is important that the questionnaire be completed and returned by the date quote is due September 10, 2021. Please submit in writing via email your response to the Contract Specialist Rhonda Long, email rhonda.a.long.civ@mail.mil

Instructions - The Offeror must submit at least three (3), but not more than five (5) references. It is the responsibility of the Contractor to send the questionnaires to their customers and to ensure that they are received on time. Failure to submit questionnaires may result in no responsiveness and quote will not be evaluated and considered for award.

Thank you for your time and participation.

PAST PERFORMANCE QUESTIONNAIRE

YOUR NAME & TITLE

YOUR ORGANIZATIONAL ADDRESS

TEL NO

FAX :

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

SET-ASIDE

SEALED BID NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

1. Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

Comments:

2. Contractor anticipated/identified and resolved problems effectively.

Comments:

3. Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.

Comments:

4. Rate the Contractor’s use of available resources to accomplish tasks identified in the contract.

Comments:

6. Contractor met scheduled contract delivery dates.

Comments:

7. Contractor provided accurate, complete and high quality deliverables.

Comments:

8. Contractor complied with the terms of the contract.

Comments:

9. Contractor was diligent in forecasting and controlling contract cost.

Comments:

10. I would recommend award to this contractor again.

Comments:

Army Contracting Command-SIAD Sierra Army Depot Contracting Office ATTN: Rhonda Long 74 C Street Building 60 Herlong, CA 96113 email: rhonda.a.long.civ@mail.mil

NA

No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

PAST PERFORMANCE QUESTIONNAIRE