Attachment 8 - Past Performance Questionnaire vF.docx

HTC711-25-Q-R002

Attachment 8

PAST PERFORMANCE QUESTIONNAIRE

SECTION 1: CONTRACT IDENTIFICATION

INSTRUCTIONS: The quoter submitting a proposal to USTRANSCOM in response to solicitation number HTC711-25-Q-R002 completes this section prior to sending to the Respondent.

A. Offeror / Prime Contractor Name: Click here to enter text.

B. Contractor (e.g., Prime, Affiliate, Subsidiary, or Subcontractor) Performing Services Name: Click here to enter text.

C. Contract Title/Number (if applicable): Click here to enter text.

D. Brief Description of Work Performed (include workload estimates):

Click here to enter text.

E. Location(s) where service was performed under this contract Click here to enter text.

F. Contractor being evaluated performed as the: ☐ Prime or ☐ Subcontractor (Mark one)

G. Contract Type: ☐ Fixed Price ☐ Cost ☐ IDIQ ☐ Single Award ☐ Multiple Award (Mark one)

Other: Click here to enter text.

H. Total Period of Performance (month/year – month/year): Click here to enter text.

I. Annual Contract Value (amount awarded): Click here to enter text.

J. Total Contract Value (including unexercised options): Click here to enter text.

SECTION 2: RESPONDENT INFORMATION

INSTRUCTIONS: The remaining sections are to be completed by Respondent.

The results of this survey will aid the Government in determining whether there is a reasonable expectation that the Contractor will successfully perform the Department of Defense in-transit visibility (ITV) contract. Therefore, it is important the responses be candid, factual, and as complete as possible. The Contractor will not be provided with this form, once completed, or the name of the respondent.

If you do not have knowledge of, or experience with, the contract referenced above, please forward this Questionnaire to the person who can provide the information.

Questionnaires must be returned no later than XX Month 2025 to USTRANSCOM Acquisition Office via E-mail: megan.h.manning.civ@mail.mil and amy.g.burk.civ@mail.mil. Please indicate “Rail ITV PPQ” in the subject. Note, this information is to be received directly from the respondent and will not be considered if received from the Offeror.

A. Respondent's name: Click here to enter text.

B. Respondent's title: Click here to enter text.

C. Customer or agency name: Click here to enter text.

D. Respondent's phone number: Click here to enter text.

E. Respondent’s Email: Click here to enter text.

F. Date Questionnaire Completed: Click here to enter text.

G. Description of Work Performed. Please mark the appropriate boxes to indicate the services provided under this reference. In the space below, provide workload estimates (such as number of Remote Monitoring Devices (RMDs) provided, installed, or serviced, etc.), mode of transportation applicable to ITV (e.g., rail, truck) and any other services not listed. Note: If any of the information in Section 1 is incorrect, please provide the correct information here.

☐RMD Provided ☐ RMD Installation ☐ RMD Transmission & Service ☐ Website Access

H. Was this a Government contract with performance assessed in Contractor Performance Assessment Reporting System (CPARS)? ☐ Yes ☐ No

NOTE: The CPARS may be reviewed for the referenced contract as well as responses to this questionnaire. Although you may have filed a CPARS for the contract listed, we appreciate your response to this questionnaire because some of the questions relate to areas not covered by CPARS.

SECTION 3: PERFORMANCE INFORMATION

INSTRUCTIONS: Place a mark in the block that most accurately describes the Contractor’s performance or situation.

In responding to the survey, please justify and explain Marginal or Unsatisfactory ratings. Respondents may be contacted to clarify comments or ratings. In order for the Government to review and assess the Contractor’s past performance rating, please use the following ratings to describe the Contractor’s performance on your contract or project:

Exceptional - Performance met all contract requirements and exceeded many to your company’s (or agency’s) benefit. Regarding the element or sub-element being rated, there should have been multiple significant events that were of benefit to your company (or agency). A singular benefit could be of such magnitude that it alone constitutes an Exceptional rating. There should have been no significant weaknesses identified.

Very Good - Performance met all contract requirements and exceeded some to your company’s (or agency’s) benefit. There were a few minor problems that the Contractor resolved in a timely, effective manner. Regarding the element or sub-element being rating, there should have been a significant event that was of benefit to your company (or agency). There should have been no significant weaknesses.

Satisfactory - Performance met contract requirements. There were some minor problems, and corrective actions taken by the Contractor were satisfactory. There should only be minor problems, or major problems the Contractor recovered without impact to the contract. There should have been no significant weaknesses identified.

Marginal - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which the Contractor has not yet identified corrective action, or for which corrective action was only marginally effective or was not fully implemented.

Unsatisfactory - Performance did not meet most contractual requirements, and recovery is not likely in a timely manner. There were serious problems, and the Contractor’s corrective actions appear or were ineffective.

Unknown - No record of past performance or the record is inconclusive.

Not Applicable – The requested information was not related to the referenced contract effort.

Please discuss each and every response for which you provided a Marginal or Unsatisfactory in response to the questions above.

SECTION 4: NARRATIVE QUESTIONS

INSTRUCTIONS: Respond to the questions and provide explanations as necessary.

1. Government Contracts Only: Has this contract been partially or completely terminated for default or convenience, or are there any pending terminations? ☐ YES ☐ NO

2. If yes, please explain. (e.g., inability to meet cost, performance, or delivery schedules, etc.)

3. Explain the Contractor’s greatest strengths and/or weaknesses and your rationale for why you would or would not award a future contract to them.

4. Would you have any reservations about soliciting this Contractor in the future or having them perform one of your critical and demanding programs?

5. Please provide any additional comments concerning this Contractor’s performance, as desired.

Thank you for your prompt response and assistance!

Source Selection Information – See FAR 2.101 and 3.104 (When Filled-in, this Document becomes CUI//SP-SSEL)