Attachment 3 - Past Performance Questionnaire.pdf

Solicitation #: 140R2020R0009 Attachment: 3

Source Selection Information

Send Completed Questionnaire to Contract Specialist, Clinton Lowery no later than June 17, 2021, 2:00 pm PST: clowery@usbr.gov

PAST PERFORMANCE QUESTIONNAIRE

This Past Performance Questionnaire is provided for Offerors to send to clients and customers for whom work has been performed and that Past Performance records are not listed in the Contractor Performance Assessment Reporting System (CPARS).

The evaluation criteria ratings and ratings definitions mirror the ratings utilized in CPARS for:

1. Quality

2. Schedule

3. Cost Control

4. Management

5. Small Business

6. Regulatory

Each Rating factor listed above has a rating table that correlates with the factor. Mark the rating box next to the adjectival rating assigned for the contract/project under review/evaluation.

Each Rating factor has additional space under the rating table to include a narrative that supports the assigned rating.

REFERENCE CONTRACT #:

(the contract the evaluation is based on)

Evaluator’s Name: __________________________

Evaluator’s email:______________________________________________________

Evaluator’s Phone Number: __________________________

Evaluator’s Agency or Company Name: _____________________________________

Send Completed Questionnaire to Contract Specialist, Clinton Lowery no later than June 17, 2021, 2:00 pm PST: clowery@usbr.gov

1. QUALITY. Quality reflects the Contractor's management of the quality control program, as well as the quality of the work itself. Questions which should be addressed are as follows: Has a quality product been provided?

Specifically describe the Contractor's quality control system responsible for it. For example:

- Ability to maintain quality control

- Performance of accessory testing

- Implementation of 3-phase inspection process

- CQC (Contractor Quality Control) documentation

- Identification and correction of deficient work

- Reviews of materials and shop drawings

- Whether there was incorporation of unspecified materials

(Check the appropriate rating box.)

RATING ADJECTIVAL

RATING

DEFINITION

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Comments:

1. SCHEDULE

Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule variance). Instances of adverse actions such as the evaluation of liquidated damages or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract/order schedule and should, therefore, be noted in the evaluation.

Government’s benefit. The contractual performance of the element or sub-

Government’s benefit. The contractual performance of the element or sub-element performance of the element or sub-element contains some minor performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the

2. COST CONTROL

Assess the contractor’s effectiveness in forecasting, managing, and controlling cost. If the contractor is experiencing cost growth or underrun, discuss the causes and contractor-proposed solutions for the cost overruns or underruns. In addition, the extent to which the contractor demonstrates a sense of cost responsibility, through the efficient use of resources, in each work effort should be assessed.

Government’s benefit. The contractual performance of the element or sub-

Government’s benefit. The contractual performance of the element or sub-element performance of the element or sub-element contains some minor performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The is not likely in a timely manner. The contractual performance of the

3. MANAGEMENT

Assess the integration and coordination of all activities needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts. Consider Management Responsiveness, Subcontract Management, and Program Management.

Government’s benefit. The contractual performance of the element or sub-

Government’s benefit. The contractual performance of the element or sub-element performance of the element or sub-element contains some minor performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The is not likely in a timely manner. The contractual performance of the

4. SMALL BUSINESS SUBCONTRACTING

Assess compliance with all terms and conditions in the contract/order relating to Small Business participation (including FAR 52.219-8, Utilization of Small Businesses and FAR 52.219-9, Small Business Subcontracting Plan (when required). Assess any small business participation goals which are stated separately in the contract/order. Assess achievement on each individual goal stated within the contract/order or subcontracting plan including good faith effort if the goal was not achieved.

Government’s benefit. The contractual performance of the element or sub-

Government’s benefit. The contractual performance of the element or sub-element performance of the element or sub-element contains some minor performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The is not likely in a timely manner. The contractual performance of the

5. REGULATORY COMPLIANCE

Assess compliance with all terms and conditions in the contract/order relating to regulatory clauses, terms and conditions (e.g. failure to report in accordance with contract terms and conditions, late or nonpayment to subcontractors, trafficking violations, tax delinquency, defective cost or pricing data, terminations, suspension and debarments) Assess compliance with all terms and conditions in the contract/order relating to applicable regulations and codes, using the Evaluation Ratings Definitions in FAR Part 42.1503(h)(4) Table 42-1. Consider aspects of performance such as compliance with financial, environmental (example: Clean Air Act, Clean Water Act), safety, and labor regulations as well as any other reporting requirements in the contract terms and conditions.

(Check the appropriate rating box.)

RATING ADJECTIVAL

Government’s benefit. The contractual performance of the element or sub-

Government’s benefit. The contractual performance of the element or sub-element performance of the element or sub-element contains some minor performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The is not likely in a timely manner. The contractual performance of the

ADDITIONAL COMMENTS, IF ANY:

Rater’s Name:

Rater’s Signature:

Date:

Send Completed Questionnaire to Contract Specialist, Clinton Lowery no later than June 17, 2021, 2:00 pm PST:

clowery@usbr.gov