ATTACHMENT L2 PRESENT AND PAST PERFORMANCE QUESTIONNAIRE _A0002.docx

ATTACHMENT L-2: Present and Past Performance Questionnaire

ATTACHMENT L-2: PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

OMNIBUS IV MILITARY MEDICAL RESEARCH & DEVELOPMENT

SOLICITATION NUMBER: HT0011-21-R-0004, A0002

The Offeror shall fill out the following information:

PRIME OFFEROR: ________________

MARKET SEGMENT: ________________

PROFICIENCY AREA(S) FOR THE MARKET SEGMENT LISTED ABOVE: _________________________________________ The Client/Customer shall fill out the following information:

1. Please complete this questionnaire. This provides a description of the performer’s direct experience on relevant efforts; describes details of prior project work and explains relevancy. Handwritten responses are sufficient. If you need more space that what is provided, please attach additional pages. Responses will be treated as source selection sensitive information. When saving this file, please use the following naming convention: L2_OMNIBUS IV_OFFEROR NAME_MARKET SEGMENT.PDF. Please submit in Adobe PDF via electronic mail, the completed questionnaire with the following Subject Line: L2 PPPQ for [OFFEROR NAME] and [MARKET SEGMENT] to dha.ncr.cod-fc.mbx.dha-acq-omnibus-iv@mail.mil prior to 1 PM EST APRIL 28, 2021.

2. Explanation of codes:

3. Please complete the following identifying information and past performance assessment:

A. Contractor:

B. Contract Number:

C. Period of Performance:

D. Negotiated cost or price at award:

E. Current estimated contract dollar amount:

F. Describe the product/service acquired:

4. Mark with a bold “X” after the appropriate letter for each item on the questionnaire and provide supporting narrative.

ASSESSMENT ELEMENTS

(a) Rate the contractor’s ability to deliver at the agreed to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).

E V S M U N

(b) Rate the contractor’s ability to successfully manage the contracted services/support in order to meet the mission requirements on time.

E V S M U N

(c) Rate the contractor’s management of subcontractors.

E V S M U N

(d) Rate the contractor’s ability to hire and retain a quality workforce to support this effort.

E V S M U N

(e) Rate the effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

E V S M U N

(f) Rate the contractor’s responsiveness to providing replacement personnel. Was training provided and proper security clearances issued to ensure smooth transition of personnel?

E V S M U N

(g) How would you rate the sufficiency of contractor internal quality control or review systems in place from the onset of the contract?

E V S M U N

(h) Rate the contractor’s responsiveness/effectiveness in resolving difficulties of a technical, business, performance, and/or quality nature.

E V S M U N

(i) Rate the effectiveness of overall contract management (including the ability to effectively lead, manage and control the program).

E V S M U N

(j) Rate the contractor’s ability to successfully respond to emergency and/or surge requirements without degradation to ongoing missions.

E V S M U N

(k) What is your overall rating of the contractor’s performance? Why?

E V S M U N

(l) Given the choice, would you award to this contractor again and why?

(m) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number/e-mail address.

(If more comment space needed, attach pages.)

5. Please provide the name, title, address, phone number and e-mail address of the person completing this questionnaire.

Name

Title

Address

Phone No.

E-mail:

6. Thank you for your assistance in this source selection. When saving this file, please use the following naming convention: L2_OMNIBUS IV_OFFEROR NAME_MARKET SEGMENT.PDF. Please submit in Adobe PDF via electronic mail, the completed questionnaire with the following Subject Line: L2 PPPQ for [OFFEROR NAME] and [MARKET SEGMENT] to dha.ncr.cod-fc.mbx.dha-acq-omnibus-iv@mail.mil prior to 1 PM EST APRIL 28, 2021. If you have any questions, please contact us via the email at dha.ncr.cod-fc.mbx.dha-acq-omnibus-iv@mail.mil.