Attachment 3 - Past Performance Questionnaire.pdf

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

From: DLA, Contracting Services Office Fort Belvoir, VA, ATTN: DCSO-R3, Odemaris Dekle 8725 John J. Kingman Rd, Fort Belvoir. VA 22060

PAST PERFORMANCE QUESTIONNAIRE PACKAGE FOR

SERVICES RFQ SP4705-24-Q-1060

Submit completed past performance questionnaire form by 4:00 P.M. Eastern Time on June 24, 2024 to: Odemaris Dekle.

Email: odemaris.dekle@dla.mil

I am contacting you in reference to _____________________who has given us your name as a reference. My questions pertain to their record of past and current performance (if applicable). Where the term “Contractor” is used below, it refers to this firm (or contractor).

The information that you provide will be used in the best value evaluation. Therefore, it is important that your information be as factual and accurate as possible.

(1) Name of Contractor questionnaire is being completed for:

(2) Contract Number:

(3) Role Contractor played in Prior Contract Prime Subcontractor

(4) Proposed Role in Pending Contract Prime Subcontractor

(5) Length of time your agency/firm has been involved with the Contractor:

(6) Contract type:

(7) Contract value:

(8) Description of services:

(9) Is Performance on this contract being reported in CPARS

No, complete page 2 of questionnaire

Yes, answer question (i) below,

(i) Has the scope of work significantly changed since the last CPAR?

No __

Yes, provide details in (iv) below,

(ii) Have there been any significant changes in contractor performance between the last CPAR and now?

No__

Yes, answer question below,

(iii) Has an out-of-cycle CPAR been initiated to document changes in performance?

No, provide details of changes in (iv) below, Yes

(iv) Comments to support answers to questions (i), (ii) and (iii):

(10) Name of agency/company completing questionnaire:

(11) Name of person completing questionnaire:

VIDEO FACILITY ENGINEERING SUPPORT SERVICES

RFQ: SP4705-24-Q-1060

NOTE: IT IS THE OFFEROR'S RESPONSIBILITY TO ENSURE THIS PAST PERFORMANCE

QUESTIONNAIRE(S) ARRIVE AT CONTRACTING PRIOR TO THE DEADLINE IDENTIFIED IN THE

INSTRUCTIONS TO OFFEROR AND/OR OTHER APPLICABLE DOCUMENT(S).

VIDEO FACILITY ENGINEERING SUPPORT SERVICES

RFQ: SP4705-24-Q-1060

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

(12) Email address of person completing questionnaire:

(13) Title of person completing questionnaire:

(14) Phone number of person completing questionnaire:

(15) Date questionnaire is being completed:

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

CONTRACTOR PAST PERFORMANCE EVALUATION

SURVEY FOR SERVICES

N e u tr al

U n ac ce p ta b le

M ar gi n al

A cc e p ta b le

G o o d

O u ts ta n d in g a.) QUALITY OF SERVICE:

(1) The Contractor provided a product or service that complied with the contract requirements, specifications, and standards of quality.

(2) The Contractor submitted accurate deliverables /reports.

(3) The Contractor established & maintained a quality program to ensure the ongoing quality of all significant processes.

(4) The Contractor utilized personnel that were appropriate to the effort performed.

b.) COST CONTROL:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices in a timely basis.

(3) Contractor’s response to change order was timely and accurate. If the changes in costs/price were initiated or caused by the Contractor, please explain in Comments Section.

c.) TIMELINESS OF PERFORMANCE AND DELIVERABLE SCHEDULE:

(1) The tasks required under this effort were performed in a timely manner and in accordance with the performance schedule, deliverable schedule and period of performance of the contract.

(2) The Contractor was responsive to technical and/or contractual direction.

d.) MANAGEMENT APPROACH AND BUSINESS RELATIONSHIPS:

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s

Representative (COR) and/or Contracting Officer’s Technical Representative (COTR) were apprised of technical, cost, and schedule issues.

(3) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

(4) The Contractor promptly notified the COR, COTR and/or Contracting Officer in a timely manner regarding urgent issues.

(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to identified risk areas and/or critical program issues.

(6) The Contractor planned for initial implementation of the project and achieved operation of task requirements once the contract began.

e.) MANAGEMENT OF KEY and NON-KEY PERSONNEL:

(1) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor’s performance.

(2) The Contractor provided the proposed qualified personnel to fulfill the requirements of the contract.

(3) The Contractor maintained a trained, qualified and experienced workforce in sufficient numbers to meet contract requirements.

f.) CUSTOMER SATISFACTION:

(1) The services provided adequately met the needs of the program for the contract task requirements.

(2) The Contractor was able to perform with minimal or no direction from the COR or the COTR.

(3) I am satisfied with the performance of the Contractor under this effort.

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

COMMENTS: