ATTACHMENT A.pdf

RFP DOL11RP21182

ATTACHMENT A: PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 2.101 AND 3.104

Offeror: Complete SECTION 1, then e-mail questionnaire to the customer points of contact listed on the Past Performance Information Sheet for the contract identified.

Offeror’s Evaluator: Complete SECTIONS 2-5 and e-mail to: Thompson.sheila@dol.gov

(DO NOT PROVIDE COPY BACK TO THE OFFEROR)

SECTION 1: CONTRACTOR IDENTIFICATION

A. Contractor

B. Prime Contractor Cage Code

C. Contract Number

D. Contract Type

E. Was this a competitive contract? Yes No

F. Period of Performance

G. Initial Contract Cost ($)

H. Current/Final Contract Cost ($)

I. Reasons for differences between initial contract cost and final contract costs (enter below):

J. Description of service provided (enter below):

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description (if applicable)

C. Geographic description of services under this contract, i.e., local, nationwide, worldwide, other Command

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's Name

B. Evaluator's Title

C. Evaluator's Phone/Fax Number

D. Number of years evaluator worked on subject contract

SECTION 4: EVALUATION

Please confirm that your evaluation is consistent with the description of service provided in paragraph J, Section 1.

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

E EXCEPTIONAL– The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’sbenefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD– The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY– The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.

M MARGINAL–Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY–Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE–Unable to provide a rating.

TECHNICAL CAPABILITY E V S M U N

How would you rate the quality of the management support assigned by the contractor to the project?

How effective was the on-site management?

How would you rate the quality of the service provided?

How would you rate the accuracy of deliverables (reports, etc.)?

How would you rate the contractor’s responsiveness to customer inquiries?

How would you rate the ability of the contractor to meet established milestones?

How would you rate the contractor’s communication with the customer?

How would you rate the contractor’s ability to work automated systems?

How would you rate the contractor’s ability to suggest innovative remedies?

How would you rate the overall performance by the contractor?

RESOURCES E V S M U N

How would you rate the quality of the contractor’s personnel assigned to the project?

How would you rate the quality of the contractor’s corporate backup for the employees at your site?

How would you rate the contractor’s employees at developing innovative and alternative methods of performing required functions on your project?

How would you rate the contractor’s cooperativeness in reacting to changes?

How would you rate the contractor’s ability to meetsuspense dates and milestones?

How would you rate the contractor’s ability to deal with changes and deficiencies?

How successful was the contractor in successfully completing the project (i.e.

Were there any show cause or cure notices issued? Was the contractor defaulted on the action or any other contracting action of which are you aware?)

Please discuss each response for which you indicated Exceptional, Marginal or Unsatisfactory in response to the questions above (use additional sheets, if necessary).

Suggested alternative approaches to problems.

Displayed initiative to solve problems.

No Default Convenience Pending Terminations

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

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s greatest strengths in the performance of the contract?

What were the contractor’s greatest weaknesses in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

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

Thank you for your prompt response and assistance!

Please e-mail this form to: Thompson.sheila@dol.gov