Attachment 25. Performance Assessment Questionnaire.pdf

Past Performance Questionnaire - Cover Letter

918TH CONTRACTING BATTALION MISSION AND INSTALLATION

CONTRACTING COMMAND - FORT CARSON 1676 EVANS STREET, BLDG 1220,

3RD FLOOR FORT CARSON, CO 80913-5198

(Insert Date)

SUBJECT: Offerer Past Performance Assessment in Support of Request for Proposal

(RFP) W911 RZ-24-R-0004.

Dear Sir/Ma'am, The US Army Military Installation Command-Fort Carson is currently conducting a competitive source selection to evaluate offerors on the subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on recent and relevant federal, state, or local government or commercial contracts as compared to the North American Industry Classification System [NAICS] 561730. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation.

Please complete the enclosure and return to the MICC-Fort Carson, 1676 Evans Street, building 1220, 3rd floor, no later than 15 days after receipt of request or (insert date), whichever occurs first. Submit your completed questionnaire to the Contracting Officer, Mrs. Mary L. Hudson at mary.l.hudson.civ@army.mil and the Contracting Speacialist, CPT Kyle W. Hensley at kyle.w.hensley2.mil@army.mil.

Your cooperation is greatly appreciated. Questions may be directed to the contracting speacilaist via email at kyle.w.hensley2.mil@army.mil.

Sincerely, Mary L.Hudson Contracting Officer

SOURCE SELECTION INFORMATION (SEE FAR 2.101 and 3.104)

JAN 22 26

Past Performance Questionnaire

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does and notify the Contracting Officer and Contracting Speacilist. Please return the completed Questionnaire to the Contracting Officer and Contracting Speacalist identified in the cover letter within the stated timeframe.

Rating Definitions:

Substantial Confidence: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. The offeror has been highly successfully in performing the required effort.

Satisfactory Confidence: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective. The offeror has successfully performed the required effort.

Limited Confidence: Performance does not meet some contractual requirements.

Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective. The offeror has had little success performing the required effort.

No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed the required effort.

PART I. (To be completed by the Offeror)

I A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

SOURCE SELECTION INFORMATION (SEE FAR 2.101 and 3.104)

JAN 22 27