Attachment J.7 Past Performance Questionnaire.docx

SP3300-20-R-5005

Attachment C

(WHEN COMPLETED)

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

CONTRACTOR PRESENT/PAST PERFORMANCE QUESTIONNAIRE

PART I – BACKGROUND

A Request for Proposal (RFP) has been issued to solicit offers that would provide the best value to the Government for the requirements of an acquisition. The specific RFP requirements may be referenced at https://wbeta.sam.gov/ under: SP3300-20-R-5005

The place of performance for contract start-up is: DLA Distribution Norfolk (DDNV) at Portsmouth, VA, and DLA Land & Maritime. Norfolk Naval Shipyard (NNSY), Portsmouth, VA

The customer for the contract is: DDNV at Portsmouth, VA, and DLA Land & Maritime at NNSY, Portsmouth, VA

The contract will be for: Labor and Logistics Support Services

A company that is interested in providing an offer on the RFP has requested that you complete this present/past performance questionnaire. All completed questionnaires shall be submitted via email to the following government POC (Acquisition Specialist) by the proposal due date and time referenced in the RFP: Amber Whitney via email at: Amber.Whitney@dla.mil

PART II – RELEVANT PREVIOUS CONTRACT GENERAL INFORMATION

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

Offeror Name:

Offeror’s Contract Number:

Offeror’s Contract Award Date:

Offeror’s Contract Type:

Method of Acquisition (Competitive / Non-Competitive):

Nature of Award (Initial / Follow-On):

Nature of Contractual Effort or Items Purchased:

Was the Offeror the Prime or Subcontractor to a Prime on the Effort:

Prime Contractor Name (if subcontracted effort):

If Subcontractor to Prime Contractor, Percentage of the Overall Prime Contract:

Program Identification/Title:

Customer/agency/end user Name:

Contract Place of Performance:

Original Period of Performance:

Current Period of Performance:

Forecasted Completion Date:

Offeror’s Awarded Contract Dollar Value:

Offeror’s Current Contract Dollar Amount:

Average Number of Direct Charge Full-Time Equivalent Personnel:

Did the Contractor Provide Any Facilities For the Effort:

If so, please provide details regarding facility size, facility contents, facility location, etc.:

Please provide a description of the services/supplies provided under the contract administered by your organization:

PART III – 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.

AOs PLEASE NOTE: Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a lower than Satisfactory rating solely for not performing beyond the requirement of the contract.

Please use the following guide in preparing your response to the questions in Part IV:

Exceptional Definition: Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed 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 assessed was accomplished with some minor problems for which corrective actions taken by the contractor was 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 being assessed contains some minor problems for which corrective actions taken by the contractor appear to be 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. There should have been NO significant weaknesses identified.

Marginal Definition: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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).

Not Applicable Definition: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

PART IV - PERFORMANCE ASSESSMENT

For questions 1-8, please click on the drop down box and choose an item to rate the contractor for each question based upon the following scale:

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

1. QUALITY OF PRODUCT OR SERVICE: AO choose a rating.

Justification for Rating: AO click here to enter justification.

2. TIMELINESS OF PERFORMANCE/SCHEDULE: AO choose a rating.

Justification for Rating: AO click here to enter justification.

3. COST CONTROL: AO choose a rating.

Justification for Rating: AO click here to enter justification.

4. GOOD BUSINESS RELATIONS: AO choose a rating.

Justification for Rating: AO click here to enter justification.

5. MANAGEMENT OF KEY PERSONNEL: AO choose a rating.

Justification for Rating: AO click here to enter justification.

6. UTILIZATION OF SMALL BUSINESS: (ONLY APPLICABLE TO LARGE BUSINESS CONTRACTORS) AO choose a rating.

Justification for Rating: AO click here to enter justification.

7. REGULATORY COMPLIANCE: AO choose a rating.

Justification for Rating: AO click here to enter justification.

8. ANY ADDITIONAL PERTINENT INFORMATION (i.e., SAFETY, SECURITY, ENVIRONMENTAL COMPLIANCE, MAINTENANCE OF GFE, etc.): AO choose a rating.

Justification for Rating: AO click here to enter justification.

For questions 9-18, please click on the drop down box and choose an item to select your response to each question based on the following scale:

In addition, please provide an explanation when necessary.

9. MEETS MOST ACCEPTABLE PERFORMANCE LEVELS (APLs) AND/OR CONTRACT QUALITY STANDARDS: Choose an item.

If no, please explain: Click here to enter explanation.

10. RESPONDS TO COMPLAINTS IN A TIMELY MANNER: Choose an item.

If no, please explain: Click here to enter explanation.

11. DISPUTES THE SCOPE OF THE REQUIREMENT: Choose an item.

If yes, please explain: Click here to enter explanation.

12. SUBMITS REASONABLE PRICE PROPOSALS ON CONTRACT CHANGES: Choose an item.

If no, please explain: Click here to enter explanation.

13. HAS PROBLEMS WITH PAYROLL, PAYING FOR SUPPLIES, OR SUBCONTRACTORS: Choose an item.

If yes, please explain: Click here to enter explanation.

14. DIFFICULT WHEN NEGOTIATING CHANGES: Choose an item.

If yes, please explain: Click here to enter explanation.

15. PRO-ACTIVELY ANTICIPATES, AVOIDS, OR MITIGATES PROBLEMS: Choose an item.

If no, please explain: Click here to enter explanation.

16. BILLING IS TIMELY, ACCURATE, AND COMPLETE: Choose an item.

If no, please explain: Click here to enter explanation.

17. IF GIVEN A CHOICE, WOULD YOU AWARD TO THIS CONTRACTOR AGAIN: Choose an item.

If no, please explain: Click here to enter explanation.

18. IS THERE ANY ADDITIONAL INFORMATION REGARDING THIS CONTRACTOR’S PERFORMANCE: Choose an item.

If yes, please explain: Click here to enter explanation.

PART V – RATER/EVALUATOR/ASSESSING OFFICIAL’S (AO) INFORMATION

Name: AO click here to enter name.

Title: AO click here to enter title.

Telephone Number: AO click here to enter telephone number.

Agency or Business: AO click here to enter agency/business.

Agency of Business Address: AO click here to enter agency/business address.

Signature:

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104.

(WHEN COMPLETED)

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104