J-8 PAST PERFORMANCE QUESTIONNAIRE.pdf

Attachment J-8 Past Performance Questionnaire 1

PAST PERFORMANCE QUESTIONNAIRE

CONTRACTOR PERFORMANCE CUSTOMER QUESTIONNAIRE

(THIS DOCUMENT IS CONSIDERED TO BE SOURCE SELECTION SENSITIVE INFORMATION)

Past performance references shall be as a prime Contractor or first-tier subcontractor on previous or current projects/tasks that are similar in size, scope, and complexity to the work identified in the Statement of Work (SOW). Past performance does not necessarily have to be Government-related; but it is important to demonstrate and provide evidence of past performance for work similar to that described in the Screening for Information request (SIR). The Offeror is required to clearly demonstrate management actions implemented to overcome problems and the effects of those actions, in terms of improvements achieved or problems solved.

At least two Past Performance Questionnaire’s must be submitted by the prime and at least one from each major subcontractor but the total of Past Performance Questionnaire’s submitted to the FAA shall not exceed a total of ten submissions combined. Contracts listed may include those entered into by the federal government, agencies of state and local governments, and commercial customers.

INSTRUCTIONS TO OFFERORS SENDING QUESTIONNAIRE FORMS:

Part I shall be completed by the Offeror (the firm requesting the reference) prior to issuing the questionnaires. The Offeror shall send the questionnaires for relevant projects that are in progress or completed in the past seven (7) years to the individuals who will provide the reference. For Government contracts, send to the Contracting Officer (CO) or CO’s Representative/Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. It is the responsibility of the Offeror to follow-up and encourage references to submit the questionnaire. The completed questionnaire shall be submitted via e-mail directly from the person providing the reference. In addition, copies of Part I of all requested questionnaire forms by the Offeror to the Reference source must be included with the Offeror’s proposal due 3:00 PM EDT, on October 22, 2016.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

In order to assess Offeror past performance under the NAVTAC II competition, the FAA contracting office is obtaining past performance information with respect to each Offeror. As a reference for work performed by the firm identified in Part I of this questionnaire, your candid response will assist in the evaluation process. Please complete Part II of the questionnaire as thoroughly as possible and submit to iann.washington@faa.gov no later than 3:00 PM EDT, on October 22, 2016. The subject line in the submission e-mail shall clearly indicate: NAVTAC II Past Performance Survey Submission for (Offeror name cited in Part I) and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. Your input into this evaluation is greatly appreciated. If you have questions regarding this questionnaire or require assistance, please submit inquiries to: 9-AWA-AAQ-NAVTACII@faa.gov.

SOURCE SELECTION SENSITIVE

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”

Attachment J-8 Past Performance Questionnaire 2

PART I (TO BE COMPLETED BY OFFEROR REQUESTING THE REFERENCE)

A. NAVTAC II OFFEROR INFORMATION

NAVTAC II Offeror Name: ____________________________________________________

Offeror Address:_____________________________________________________________

B. CONTRACT IDENTIFICATION

Project Title: _________________________________________________

Contract Number: ____________________________________________

Agency/Customer: ____________________________________________

Contract/Order/Subcontract/Other:_________________________________________________

Contract Type: ____________________

Contract Purpose (e.g., Service, Supply, Development/First Article, R&D)?

Contract Award Date: ___________________

Period of Performance: ____________________

Total Contract Value: __________________ Value of Offeror’s Share: __________________

Was the Offeror a Prime Contractor __ yes __ no; or Subcontractor __ yes __ no

Competitive Award __ yes__ no

Program Title and nature of the effort (i.e., describe the scope of the effort, the type of tasks involved, labor skills used, and products/support delivered).

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”

Attachment J-8 Past Performance Questionnaire 3

PART II (TO BE COMPLETED BY RESPONDENT)

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support very high or very low rating should be noted on page 5.

Assign each area a rating of, 4 (Outstanding), 3 (Good), 2 (Satisfactory), and 1 (Unsatisfactory).

Use the attached Rating Guidelines which is provided as Exhibit 1 as guidance in making these evaluations. Circle the appropriate rating.

A. IDENTIFICATION OF RESPONDENT

Name:____________________________________________________

Title: _____________________________________________________

Telephone Number:__________________________________________

Address:___________________________________________________

E-mail:____________________________________________________

B. EVALUATION

QUALITY OF SERVICE:

1. Compliance with contract requirements:

1 2 3 4 N/A

2. Accuracy of reports:

1 2 3 4 N/A

3. Level of knowledge, experience, and training of personnel:

1 2 3 4 N/A

4. Capability of personnel to perform required services:

1 2 3 4 N/A

5. Effectiveness of personnel in performing required services:

1 2 3 4 N/A

6. Overall quality of service:

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”

Attachment J-8 Past Performance Questionnaire 4

TIMELINESS OF PERFORMANCE

1. Reliability:

2. Responsive to technical direction:

1 2 3 4 N/A

3. Meets contract delivery schedules and/or task deadlines:

COST CONTROL

1. Current, accurate and complete billings:

1 2 3 4 N/A

2. Relationship of negotiated costs to actuals:

1 2 3 4 N/A

3. Cost efficiencies:

PROGRAM MANAGEMENT

1. Adequate and complete management plan:

1 2 3 4 N/A

2. Specific management team dedicated to this project:

1 2 3 4 N/A

3. Indications that the provided team had experience in subcontractor management and surveillance:

1 2 3 4 N/A

4. Process, or metrics, for the evaluation of their own overall management performance.

CUSTOMER RELATIONSHIP:

1. Effective management, including subcontracts:

1 2 3 4 N/A

2. Reasonable/cooperative behavior:

SOURCE SELECTION SENSITIVE

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”

Attachment J-8 Past Performance Questionnaire 5

3. Responsive to contract requirements:

1 2 3 4 N/A

4. Notification of problems:

1 2 3 4 N/A

5. Flexibility:

1 2 3 4 N/A

6. Pro-active vs. reactive:

OVERALL CUSTOMER SATISFACTION

1. The contractor is committed to customer satisfaction:

a. Contractor Management Personnel

(circle one) Yes No

b. Contractor Onsite Facility Personnel

(circle one) Yes No

ADDITIONAL COMMENTS:

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”

Attachment J-8 Past Performance Questionnaire 6

Exhibit 1

Rating Guidelines

RATING

QUALITY OFPRODUCT

OR SERVICE COST CONTROL

TIMELINESS OF

PERFORMANCE BUSINESS RELATIONS

4-Outstanding

Contractor is in compliance with contract requirements and/or delivers quality products/services

Contractor is effective in managing costs and submits current, accurate, and complete billings

Contractor is effective in meeting milestones and delivery schedules

Response to inquiries, technical/service/administrative issues is effective

3-Good Minor inefficiencies/errors have been identified

Contractor is usually effective in managing costs

Contractor is usually effective in meeting milestones and delivery schedules

Response to inquiries, technical/service/administrative issues is usually effective

2-Satisfactory Some problems have been encountered

Contractor is having some problems in managing costs effectively

Contractor is having some problems meeting milestones and delivery schedules

Response to inquiries, technical/service/administrative issues is somewhat effective

1-Unsatisfactory

Contractor is not in compliance and is jeopardizing achievement of contract objectives

Contractor is unable to manage costs effectively

Contractor delays are jeopardizing performance of contract objectives

Response to inquiries, technical/service/administrative issues is not effective

“This contract may contain information considered sensitive unclassified information (SUI) and would merit protection from unauthorized disclosure under 5 U.S.C, Section 552(b)(4). No information shall be released except as authorized by the Contracting Officer.”