Attachment 4 - Past Performance Questionnaire_10Jun21.docx

Attachment 4 – Past Performance Questionnaire H92240-21-R-0003

Past Performance Questionnaire

Please return directly to: holly.l.deignan.civ@socom.mil with “PP Reference H92240-21-R-0003” in the subject line. Please return by the due date of 12 July 2021 @ 3PM PST, or as Amended.

Dear Sir or Madam:

Naval Special Warfare Command is acquiring Multifunctional Doors and Supporting Material to fulfill its mission. An Offeror interested in proposing on this work has identified you as a Point of Contact (POC) on a past or present contract which the Offeror deems relevant to this effort. We are, therefore, requesting your assistance in completing the attached Past Performance Questionnaire so that we may evaluate the Offeror under the Factor of Past and Present Performance.

Please provide your comments regarding the overall assessment of the Offeror’s performance on the contract identified and any additional information that your organization deems relevant to our evaluation team. It is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators.

Please complete and submit the Questionnaire as soon as possible via e-mail to the address If you have any questions, please don’t hesitate to reach out. Thank you very much in advance for your assistance.

HOLLY DEIGNAN

Contracting Officer

Part I - REFERENCE CONTRACT IDENTIFICATION (To be completed by the Offeror)

Contractor/Company Name/Division and Address:

Contract Number:

Prime Contractor Name:

Award Date:

Contract Type:

Total Obligated Value:

Period of Performance:

Specific Nature of the Contractual Effort

IDENTIFICATION OF POINT OF CONTACT - RESPONDENT

Name:

Title:

Telephone:

Email Address:

IDENTIFICATION OF OFFEROR POINT OF CONTACT COMPLETING THIS FORM

Name:

Title:

Telephone:

Email Address:

PART II - EVALUATION (To be completed by Point of Contact – Respondent)

The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

1. Compliance of material to specification requirements that were initially requested.

|_| Acceptable |_| Unsatisfactory Comments:

2. Ability to maintain consistent, continuous high quality delivered material without gaps or significant Government oversight required.

|_| Acceptable

3. Capability to coordinate and deliver material on time.

|_| Acceptable

4. General Comments/Overall Satisfaction. Provide any other relevant performance information. Would you hire this company again given what you know now? Any cure/show cause/termination notices issued?

UNCLAS//FOUO (Upon completion)