Attachment E - Past Performance Questionnaire.pdf

UNCLASSIFIED

Past Performance Questionnaire HM047626R0029 Attachment E

ATTACHMENT E - (U) PAST PERFORMANCE QUESTIONNAIRE

Offerors must insure past performance questionnaires are completed and returned to:

Kenneth Lehrmann Janet Richards Contracting Officer Contracting Specialist Kenneth.M.Lehrmann@nga.mil Janet.D.Richards@nga.mil

The remainder of this page is intentionally left blank.

mailto:Kenneth.M.Lehrmann@nga.mil mailto:Janet.D.Richards@nga.mil

Past Performance Questionnaire

(U) PAST PERFORMANCE QUESTIONNAIRE

(U) Information to be completed by OFFEROR

Contractor Name: Contract Number:

Address:

Contract Value:

Contracting Officer Name: Phone Number: Award Date:(DD MM YYYY) Completion Date:(DD MM YYYY)

Program Manager Name: Phone Number: Contract Type:

Fee Type:

(U) Information to be completed by EVALUATING ORGANIZATION

Name: Rank and Service, if Military:

Duty Title: Organization;

Phone: (commercial, not DSN) FAX:

Email Address: Observed Months of Performance (DD MMM YYYY):

From: To:

(U) Based on your knowledge of the contract identified above, please provide your assessment of how well the contractor performed on each of the following topics. Only contracts having a performance period ending not earlier than five years from Request for Proposal release date are relevant. Your answers to these questions will help the government evaluate how well the contractor performed under your contract(s). Please check the appropriate rating and, since we must provide the contractor an opportunity to respond, if you indicate that the contractor had significant weaknesses, please provide thorough and concise comments on all responses other than those rated satisfactory or N/A.

Summary Description of Contract: (Also include the percentage of personnel turnover rate for cleared personnel at the end of the summary description)

Did/does this contract involve any classified work?

No ( ) Yes ( ) Department of Defense Collateral: ( ) Sensitive Compartmented Information: ( ) Other (i.e., Special Access Program): ( ) Secret: ( ) Top Secret: ( )

Signature:

Date:

(U) All checkmarks shall include adequate rationale to describe the rating. For each of the performance ratings indicated, use the following guidelines* to rate each question and mark the appropriate box:

*(U) The final composite rating will not reflect a numerical score.

(U) PAST PERFORMANCE*

NEUTRAL UNACCEPTABLE MARGINAL ACCEPTABLE GOOD OUTSTANDING

No Score 0 1 2 3 4 5 6 7 8 9 10

No past performance information is available.

Indicates the contactor is deficient and demonstrates very little understanding and ability to perform the goals and objectives of the contract.

Such deficiencies are expected to be very difficult or impossible to correct

Indicates contractor’s performance does meet contractual requirements, however, the area of evaluation contains serious problems for which corrective actions will be difficult to correct and have not yet been identified, appear only marginally effective, or have not been fully implemented.

Indicates performance meets contractual requirements and the goals and objectives of the Performance Work Statement (PWS). The area of evaluation contains some minor problems for which the corrective actions have been taken and appear satisfactory, or corrective actions have been identified and will probably correct the deficiencies.

performance met all requirements and exceeded some.

The contractor is fulfilling the goals and objectives of the PWS. Area of evaluation contains few minor problems for which timely corrective action has been taken and is effective.

performance exceeded all requirements, goals, and objectives of the PWS. Area of evaluation may have contained very few minor problems for which corrective action was very effective and timely as to avoid any impact to the government.

(U) MANAGEMENT PERFORMANCE

N U M A G O

PERSONNEL N 0 1 2 3 4 5 6 7 8 9 10

1. Ability to deliver/staff the contract with qualified personnel as required by the contract and/or necessary for a smooth contract “start-up” and not jeopardize performance?

2. Ability to retain and/or replace required personnel assigned to the contract with equally or better “Qualified” personnel?

PROGRAM MANAGEMENT N 0 1 2 3 4 5 6 7 8 9 10

1. Creates collaborative relationships with government, sub-contractors and other stakeholders to achieve project goals.

2. Selects, coordinates, integrates, and provides effective sub-contractor management.

3. Communicates proactively and openly with government, sub-contractors and other stakeholders.

(U) TECHNICAL PERFORMANCE

N U M A G O

TECHNICAL – TECHNICAL APPROACH N 0 1 2 3 4 5 6 7 8 9 10

1. Effectively identifies, prioritizes and applies resources to achieve Performance Work Statement (PWS) requirements.

2. Possesses appropriate domain experience.

3. Quality of deliverables and services.

4. Displays initiative in fulfilling PWS requirements and is responsive to the government's needs.

5. Technical expertise of the Personnel assigned to the contract?

6. Pursues technical innovations and/or product efficiencies to improve technical performance.

TECHNICAL – QUALITY ASSURANCE N 0 1 2 3 4 5 6 7 8 9 10

1. Effectively implements, maintains and adjust performance metrics to deliver increasingly value over time.

2. Effectiveness of contractor’s Quality Assurance Plan.

4. Ability to work with other contractors and understand their role within the organization?

5. Ability to respond to government direction and changing direction or requirements?

6. Ability to balance contract cost, schedule, and performance issues and ability to identify and implement cost saving measures?

7. Achieves cost reductions and/or performance improvements through performance based contracting.

8. Completes major milestones on schedule.

9. Effectiveness of transition plan during startup of contract.

10. Security Violation tracking/reporting is timely, accurate, and of appropriate content.

COMMENTS:

A. COMMENTS ON “O” (OUTSTANDING) AND “G” (GOOD) RATINGS, EXPLAINING STRENGTHS:

B. COMMENTS ON “M” (MARGINAL) AND “U” (UNSATISFACTORY) RATINGS, EXPLAINING

WEAKNESSES:

C. OTHER COMMENTS:

a. HAS ANY UNSATISFACTORY PERFORMANCE IDENTIFIED ABOVE BEEN SHARED WITH THE

CONTRACTOR?

( ) YES: WRITTEN OR ORAL? ( ) NO ( ) N/A

b. WOULD YOU USE THIS CONTRACTOR AGAIN?

( ) YES ( ) NO (IF NO, PLEASE EXPLAIN BELOW)