J-6 Past Performance.docx

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RSIS Operation, Maintenance and Enhancement Services
Solicitation number
DTFR53-09-R-00013
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J.6 Past Performance Questionnaire-Word Version

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Attachment J-6: Past Performance Questionnaire Template

Instructions:

· Sections I and II to be completed by the Contractor/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Contractor/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Contractor should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

· 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 VII to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by DOT to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, after completing and signing the form, please scan the document and e-mail the completed questionnaire(s) to Barbara.drook.ctr@dot.gov

I. Solicitation Data (for the proposed effort)

Solicitation Number
DTFR53-09-R-0013
Project/Requirement
Enter Project Name/Requirement Title
Customer/Agency
Enter Project Office
Project/Requirement Description
Enter brief Project/Requirement Description
Prime Contractor
Enter name, if applicable

II. Current or Historical Contract Information Assessor: The performance data submitted by the Contractor is |_| correct or |_| incorrect.

CONTRACTOR NAME & ADDRESS:

B Contract No

Type of Contract

Initial
Final

C Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

D Contracting Role
|_| PRIME
|_| SUBCONTRACTOR
Termination History
|_| Convenience
|_| Default
|_| N/A

III. Assessor Information

Assessor Name

Title

Phone Number / email Address

Identify your role in the contract award or administration and the period of your involvement.

Role
Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Evaluation Definitions

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

E EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.
E VERY GOOD
Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
F SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
G MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
H UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

I NOT APPLICABLE

(N/A) Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

V. Performance Evaluation

1. Technical Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Technical Performance

Please provide rationale for the assigned rating.

b. Assess the Contractor’s technical performance in the following areas.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Design

Fabrication

Integration

Software Development

Testing

Training

Documentation

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

2. Schedule Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Schedule Performance

Please provide rationale for assigned rating.

b. Assess the Contractor’s schedule performance in the following areas.

Schedule Performance
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Hardware

Software

Data Items

Assess the Contractor’s ability to resolve Schedule Problems

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

c. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

3. Management

a. What is your OVERALL assessment of the Contractor’s management performance?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Management

b. Assess the Contractor’s management performance in the following areas.

Management
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

MANAGEMENT RESPONSIVENESS—Timeliness, completeness, and quality of problem identification, proposal submittal, history of cooperative behavior, effective business relations, teamwork AND Customer satisfaction.

SUBCONTRACT MANAGEMENT—Timely award and management of subcontracts and meeting subcontracting goals for small business, small disadvantaged business, etc.

PROGRAM MANAGEMENT—Effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices.

MANAGEMENT OF PERSONNEL—Ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the Government’s requirements within schedule and budget.

INTEGRATED PRODUCT TEAM MANAGEMENT—Commitment and participation to the IPT process.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

b. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Cost Control

b. Assess the Contractor’s cost performance in the following areas.

Management
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

COST REPORTING—Accuracy and timeliness of the Contractor’s cost reporting data.

NOTIFICATIONS—Timeliness of the Contractor’s notifications of costs as required by the Limitation of Cost/Funds Clauses.

RESOLUTION OF COST PROBLEMS—Commitment to resolve cost issues—may include utilizing principles such as Cost as an Independent Variable (CAIV)

ADHERENCE TO COST TARGETS—Ability to establish and meet the realistic cost targets.

SUBCONTRACT COST MANAGEMENT— Ability to forecast, negotiate, and control subcontract costs

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

VII. General Comments:

_____________________________________________________
Assessor’s SignatureDate

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