B08_SOL_Attachment_4_PPQ_CGC_WAESCHE_(WMSL-751)_DS.pdf

Attachment 4 – Past Performance Questionnaire Solicitation 140D0423Q0054

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Offeror:___________________________________________________________________

B. Agency/Customer:___________________________________________________________

C. Contract Title:______________________________________________________________

D. Contract number: ____________________________________________________________

E. Contract type: _______________________________________________________________

F. Award Date: ________________________________________________________________

G. Completion Date: ____________________________________________________________

H. Contract Value:

Initial: _____________________________________________ Final: ______________________________________________

I. Period of performance: _______________________________________________________

J. Offeror Role (Prime or Sub): __________________________________________________

K. Government Point of Contact:

Name:________________________________________________________ Email Address:_________________________________________________ Telephone Number:_____________________________________________

L. Project Description

Attachment 4 – Past Performance Questionnaire Solicitation 140D0423Q0054

SECTION 2: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

O

OUTSTANDING - The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example to others, so that it justifies adding a point to the score.

It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as “Excellent”.

E EXCELLENT – The contractor has substantially exceeded the contract performance requirements.

G GOOD – There are no, or very minimal issues and the contractor has met the contract requirements.

F FAIR – Overall compliance requires minor agency resources to ensure achievement of contract requirements.

P POOR – Overall compliance requires significant agency resources to ensure achievement of contract requirements.

U

UNSATISFACTORY – Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

N NOT APPLICABLE - Unable to provide a score

Quality of Product or Service O E G F P U N Ability to understand/comply with customer objectives and technical requirements

Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

Adequacy/effectiveness of quality control program

Quality/effectiveness of sub-contracted efforts Program Management, Timeliness of Performance & Business Relations O E G F P U N

Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

Attachment 4 – Past Performance Questionnaire Solicitation 140D0423Q0054

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

Ability to successfully respond to emergency and/or surge situations

Effectiveness of material management (including Government Furnished Property or Material)

Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

Transition/Phase-in & Employee Retention/Attraction O E G F P U N

Contractor ability to smoothly transition resources and personnel.

Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

Ability to hire/apply a qualified workforce to this effort.

Ability to retain a qualified workforce on this effort.

Cost Control O E G F P U N Accuracy in forecasting contract costs Ability to meet forecasted costs and perform within contract costs

Ability to alert Government of unforeseen costs before they occur

Sufficiency and timeliness of cost reporting

Attachment 4 – Past Performance Questionnaire Solicitation 140D0423Q0054

Government Contracts Only: has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 3: NARRATIVE SUMMARY

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this form to the contractor that has submitted for evaluation, they will provide with their proposal submission.

If uncomfortable with providing directly to the contractor, please submit a copy to:

Shavonda Jamison, shavonda_jamison@ibc.doi.gov mailto:shavonda_jamison@ibc.doi.gov