Attachment L-02 WOI - PPQ Form V2 8-26-20.docx

Approved for Public Release 20-MDA-10566 (9 Sep 20)

Past Performance Questionnaire

Background: This questionnaire will be used to provide information to support the Missile Defense Agency Warfighter Operational Integration (WOI) services procurement, RFP HQ0858-20-R-0011

Message to the Assessor: Your feedback is requested by the Missile Defense Agency (MDA) to assist with establishing the performance history for the Contractor identified below. To expedite receipt of the requested information, MDA requests that you e-mail the completed questionnaire(s) to: mara.strobel@mda.mil AND TN-Warfighter@mda.mil. Your support and participation in this matter is essential and greatly appreciated!

Instructions for Offeror/Subcontractor and Assessor:

· Sections I and II to be completed by the Offeror/ Subcontractor and provided to the Assessor (the Government personnel that had experience with the Offeror/Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through II, complete the questionnaire, and submit to the Contracting Office.

· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

· Sections III through VI to be completed in their entirety by the assessor.

I. Customer Identification Customer or Agency Name

Customer or Agency Description

Geographic Description of Services Under This Contract (i.e. single location, multiple locations, CONUS (in U.S.), or OCONUS (Outside U.S.)

II. Current or Historical Contract Identification Contractor Name/Address

Contract Number:

Email:

Contract Type:

Initial Period of Performance:

Current/Final Period of Performance:

Initial Contract Value (base only):

Current/final Contract Value (base and exercised options only):

Reason if Initial Contract Value and Current/final Contract Value above are different.

Brief description of services provided

Contractor Role (Prime or Subcontractor)

ASSESSOR: The inform submitted by the company above is: CORRECT ☐ OR INCORRECT ☐

III. Assessor Information Assessor Name

Title

Phone Number/Email Address

Role (examples: PM/PCO/ACO/Contract Specialist/COR/Quality Assurance Specialist, etc.)

Assessor’s number of years working on contract

IV. Assessment Definitions

The following definitions should be used in your assessment of Contractor performance

V. Performance Evaluation

Supporting operational watch standing functions to include dealing with senior leaders to report health and status of a major weapon system.

Conducting or facilitating Asset Management procedures to integrate and synchronize geographically dispersed assets of a major weapon system.

Maintaining the software and hardware configuration of a major weapon system in an approved operational baseline.

Building/maintaining professional relationships to support operational-level interface with combatant commanders and their staffs to increase and improve Warfighter participation in developing future missile defense capabilities. (Expert knowledge on the organization, management, leadership and duties of the U.S. Army, U.S. Air Force, U.S. Navy USSF, and Joint Staff and their ability to interact with CCMDs, JFCC-IMD and MDA on missile defense issues.)

Supporting development of Warfighter Involvement Products, such as the Modification and Fielding Request List, Prioritized Capabilities List, and Achievable Capabilities List that influence a major weapon system.

Supporting Sea-Based Weapon System programmatic efforts including operational integration; real-world events; technical integration, deliberate planning and training.

Supporting Ground-Based Weapon System programmatic efforts including integration and scheduling; development and fielding; sustainment engineering and operational support.

Supporting Sensor-Based programmatic efforts including operational integration; real-world events; sensor watch operations, and technical integration and deliberate planning.

Ability to achieve timely recruiting and on-boarding of personnel that meet contract qualifications.

Ability to retain qualified personnel

Ability to solve employee performance problems

Please provide rationale for the assigned ratings:

All comments are appreciated; however, at a minimum, rationale must be provided for exceptional (E) or Unsatisfactory (U) ratings.

Responsiveness (cooperative behavior, teamwork, and customer satisfaction)

Program Management (effective coordination and integration of all activities)

Dispersed Locations (management of personnel in multiple/dispersed locations)

Cost Control (ability to forecast, manage, and control costs)

Please provide rationale for the assigned ratings:

All comments are appreciated; however, at a minimum, rationale must be provided for exceptional (E) or Unsatisfactory (U) ratings.

Overall Rating of Contractor’s performance (Mission Capability and Management) on contract being assessed:

Overall Rating (Mission Capability and Management Combined)

VI. General Comments:

Assessor’s Signature Date

FOR SOURCE SELECTION INFORMATION – FAR 2.101 AND FAR 3.104 –

FOR OFFICIAL USE ONLY (WHEN FILLED IN)