Attachment 4 - Past Performance Questionnaire.docx

DOCX document 27 KB Posted

Attached to
DANTES CENTCOM-AFRICOM Degree Program
Solicitation number
H9821026QA001
Issued by

About this file

This is a Past Performance Questionnaire template for solicitation H9821026QA001, issued by the Defense Human Resources Activity to evaluate contractor performance on past contracts related to overseas degree program education support. The questionnaire is designed to be completed by government raters or evaluators assessing a prospective contractor's performance on previously awarded contracts, with completed responses submitted to Contract Specialist Jada Weaver (jada.a.weaver.civ@mail.mil) and Contracting Officer Mike Carnley (charles.m.carnley.civ@mail.mil) by the quote due date.

The questionnaire template collects general contract information including contractor name, customer agency, contract number, period of performance, contract value, and service description. It then evaluates five performance assessment categories—Quality of Product or Service, Schedule (Timeliness of Performance), Cost Control, Management/Business Relations, and Regulatory Compliance—using a five-point rating scale (Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory). Ratings above or below Satisfactory require written justification with specific examples of significant events and their impact to the government. The questionnaire includes detailed definitions for each rating level aligned with the Contractor Performance Assessment Reporting System (CPARS) standards, and concludes with fields for evaluator information including name, title, telephone number, agency affiliation, address, signature, and date. This is a template document, not a completed assessment.

View the file

Other files

Show all 26

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

(WHEN COMPLETED)

PAST PERFORMANCE QUESTIONNAIRE

BACKGROUND

Solicitation H9821026QA001 has been issued to solicit quotations that would provide the best value to the Government for Overseas Degree Program Education Support. An overview of the requirement is below.

The U.S. Armed Forces (Army, Air Force, Navy, Marine Corps, Space Force, National Guard, and Reserve) and Coast Guard require undergraduate, graduate, and post-graduate (credit and non-credit) degree programs, delivered in face-to-face and alternative learning formats, to military personnel serving in the United States Central Command (CENTCOM) and United States Africa Command (AFRICOM) Areas of Responsibility (AOR). Service locations for this contract are subject to change and may include any country within the CENTCOM and AFRICOM AORs as established in the Unified Command Plan issued pursuant to 10 U.S.C. § 161. The appendices list the countries currently in the CENTCOM and AFRICOM AORs and the military bases where services are currently required, including Bahrain, Djibouti, Egypt (Sinai), Iraq, Jordan, Kuwait, Qatar, and United Arab Emirates. Services under this contract may be required at any military location in the CENTCOM and AFRICOM AORs. The U.S. Armed Forces (Army, Air Force, Navy, Marine Corps, Space Force, National Guard, and Reserve) and Coast Guard require academic and student support services for undergraduate and graduate (credit and non-credit) degree programs as outlined in the Performance Work Statement and Appendices, delivered in face-to-face traditional and alternative learning formats, to military personnel serving outside of the Continental United States (OCONUS).

POINT OF CONTACT FOR COMPLETED REFERENCE:

A company that is interested in providing an offer on the RFQ has requested that you complete this Past Performance Questionnaire. All completed questionnaires shall be submitted via email to the following government POCs (Contract Specialist & Contracting Officer) by the quote due date and time referenced in the RFQ: Jada Weaver, jada.a.weaver.civ@mail.mil and Mike Carnley, charles.m.carnley.civ@mail.mil.

Controlled By:

Controlled By:

CUI Category:

Distribution/Dissemination Controls:

POC:

Solicitation H9821026QA001 Attachment 4 – Past Performance Questionnaire

(WHEN COMPLETED)

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

CUI

CUI

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

(WHEN COMPLETED)

PREVIOUS CONTRACT GENERAL INFORMATION

The following information is to be completed by the Rater/Evaluator/Assessing Official (AO):

a) Contractor Name:

b) Prime contractor or first tier subcontractor:

c) Name of the customer /agency:

d) Contract / Purchase Order Number for the Reference (Subcontract number if a subcontractor for the overall effort):

e) Length of contract and period of performance (dates):

f) Initial and Final Contract Price for the past performance reference (Subcontract value if a subcontractor for the overall effort):

g) Description of service provided:

QUESTIONNAIRE INSTRUCTIONS

This questionnaire covers the topics that are in line with the Contractor Performance Assessment Reporting System (CPARS). This questionnaire is designed to provide basic information regarding the Contractor’s present/past performance results on the contracts they have been awarded with your company and your satisfaction with their performance.

Please use the following guide in preparing your response to the performance assessments::

Exceptional Definition: 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.

Note: To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

Very Good Definition: 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.

Note: To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

Satisfactory Definition: 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.

Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that contractors will not be evaluated with a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.

CUI

(WHEN COMPLETED)

Marginal Definition: 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.

Note: To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

Unsatisfactory Definition: 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.

Note: To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

PERFORMANCE ASSESSMENT

Please select the applicable rating for each of the following questions using the below scale.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Not Applicable

In addition, please provide a justification for rating given if above or below satisfactory.

1. QUALITY OF PRODUCT OR SERVICE:

Justification for Rating:

2. SCHEDULE (TIMELINESS OF PERFORMANCE/SCHEDULE):

Justification for Rating:

CUI

(WHEN COMPLETED)

3. COST CONTROL:

Justification for Rating:

4. MANAGEMENT / BUSINESS RELATIONS:

5. REGULATORY COMPLIANCE:

EVALUATOR INFORMATION

Name:

Title:

Telephone Number:

Agency or Business:

Agency of Business Address:

Signature: Date:

File details come from the government source that posted it. Updated .