ATTACHMENT D - Past Performance Questionnaire_EMM.pdf

SP8000-22-R-0002

SP8000-22-R-0002 Source Selection Information See FAR 2.101 and 3.104 Page 1 of 3

Attachment D Past Performance Questionnaire

Electrolytic Manganese Metal (EMM)

This questionnaire is designed to provide DLA Strategic Materials with basic information regarding the Contractor’s past performance on previous contracts they have been awarded and the satisfaction with their performance.

Please send this Questionnaire for Electrolytic Manganese Metal (EMM), to Contract Specialist Mark Andrews at DCSO-F2Contracting@dla.mil with the subject line SP8000-22-R-0002 Electrolytic Manganese Metal Past Performance Questionnaire.

Please complete the following identifying information and past performance assessment:

A. Contractor: __________________________________________________________________ B. Contract number: ____________________________________________________________ C. Period of Performance: ________________________________________________________ D. Total Contract Amount (Including any Options): ___________________________________ E. Describe product acquired: _______________________________________________ ______

Point of Contact if the Government requires clarification on information filled out in this questionnaire: (name, title, organization, address, email, and phone):

Evaluator’s experience with this manufacturer (evaluator is the person filling out the questionnaire) (Evaluator’s name, title, and organization if different from POC):

Electrolytic Manganese Metal (EMM) Past Performance Questionnaire

SP8000-22-R-0002 Source Selection Information See FAR 2.101 and 3.104 Page 2 of 3

When answering the questions below, please consider previous experiences with the Contractor and the quality of the products you have received from them.

Please answer the questions below:

1. Have you received the following materials from the manufacturer:

Electrolytic Manganese Metal (EMM)

Please check a box: ☐ Yes ☐ No Please indicate the grade/purity level, granule size, and material quantity you have received.

2. If applicable, please provide the contract name and number under which you procured these materials.

3. Cost—Rate the Contractor’s ability to control cost and deliver at the agreed-to price. Describe reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).

Please add additional comments below.

4. Quality—

a) How well did the contractor adhere to the requirements of a Safety Data Sheet, Certificate of Analysis, or Performance Based Contracting requirements?

Please add additional comments below.

b) Did the services provided meet the required level of quality or results?

Please add additional comments below.

5. Performance— Rate the contractor's ability to comply successfully with the contract requirements and/or statement of work.

Please add additional comments below.

Electrolytic Manganese Metal (EMM) Past Performance Questionnaire

SP8000-22-R-0002 Source Selection Information See FAR 2.101 and 3.104 Page 3 of 3

6. Schedule—

a) How well did the contractor adhere to the agreed-to schedule?

Please add additional comments below.

b) What were the causes of any schedule variances?

Please add additional comments below.

c) Were data reports and/or materials delivered on time?

Please add additional comments below.

7. What is your overall rating of the contractor’s performance?

Please add additional comments below.

8. Given the choice, would you award to this contractor again? Why/why not?

Please include any additional comments below that will assist in the evaluation of the technical competence and reliability of this material manufacturer.

Name and Date questionnaire was completed: ________________________________________