Attachment_J-2_Past_Performance_Survey.pdf

Attachment J-2

CONTRACTOR PAST PERFORMANCE SURVEY

INTRODUCTION

The Federal Railroad Administration (FRA) is currently conducting a competitive procurement solicitation under which each prospective Offeror has been requested to identify Government agencies or commercial business firms it has previously contracted with or to whom it is currently under contract, to serve as potential references for its past performance record. You are being asked to complete and return this Contractor Past Performance Survey. Parts I and II are to be completed and returned by the Offeror with its submission. You may also be contacted by an FRA procurement official to arrange a telephone interview, using the survey as the focal point of the interview.

To ensure frank and open evaluations and expressions of opinions by evaluators, all parties are advised that the identity of the evaluators completing the survey will be held in confidence and will not be released or disclosed to the contractor or to anyone outside the Government. However, as specified under Federal Acquisition Regulation

15.306, conditions may exist in which the contractor may be provided an opportunity to discuss adverse past performance information on which the Offeror has not had a previous opportunity to comment. Any relevant contractor performance/customer evaluations previously prepared within the last three years by the agency/firm providing this reference, and subsequent responses or rebuttals from the Offeror/contractor, may be requested to augment or furnished in lieu of this survey or interview.

NOTE: Attachment 1– “Past performance Questionnaires” should NOT be returned or furnished in a copy to the subject Offeror/contractor. The client submit

Attachment 1 directly to: devona.jackosn@dot.gov. .

mailto:devona.jackosn@dot.gov

PART I - ADMINISTRATION – Contractor Past Performance Survey (To be completed by the Offeror and submitted with its Offer/Submission)

Name of Agency/Business: U.S Department of Transportation/Federal Railroad Administration Reference Conducting Assessment: Contracting Officer: Keith Boyea

Name of Offeror/Applicant Making Submission Under RFP No. DTFR53-16-R-00002

Name of Organization/Person To

Whom Reference Applies If Other

Than Offeror/Applicant:

Contract or Project Title:

Nature of the work:

Contract No. Delivery/Task Order No.

Performance Period(s): Base Period- from to & Base plus All Options - from to

Dollar Value(s): Base Period - & Base plus All Options -

Contract Type and Method of Contracting: (Check all that apply)

[ ] Full & Open Competition [ ] Other Than Full & Open Competition [ ] Negotiated [ ] Sealed Bid [ ] Simplified Acquisition [ ] FSS/MAS [ ] 2-Step or Phased [ ] Firm Fixed Price [ ] Other FP type (specify) [ ] Cost (no fee) [ ] Cost Plus Fixed Fee [ ] Other Cost Reimbursement type (specify) [ ] Other Contract type (specify) [ ] SBA 8(a) [ ] SBIR [ ] HUBZone Set-Aside [ ] SDB Price Adjustment [ ] Small Business Set-Aside

PART II - RELEVANCY/PERSPECTIVE – Contractor Past Performance

Survey (To be completed by Offeror/Applicant and submitted with its Offer/Submission)

For Part II, the Offeror shall complete and insert a single page that addresses the following three areas of inquiry:

Description of Prior Contract Services, Relevancy, and Problem Resolution and Quality Honors. The text of the Offerors responses for all three inquiries combined shall not exceed one page.

Description of Prior Contract

Services: Provide a short description of supplies/services the Offeror furnished in the referenced contract evaluated herein.

(Recommend 5 -10 lines.)

Relevancy: Describe how the referenced contract evaluated herein is relevant (in terms of scope, magnitude, cost, human resources, or other aspects) to the project proposed in the Offeror’s proposal. Identify whether the Offeror was the prime contractor or major subcontractor (in terms of total contract cost, 25% or more), or served in some other capacity/role or relationship. Provide name, point of contact and phone number of prime contractor, if other than Offeror.

(Recommend 20 -25 lines.)

Problem Resolution and Quality

Honors: The Offeror may describe problems encountered in the identified contract and the demonstrated effectiveness of the Offerors corrective actions. Identify any Federal

Government contracts/orders, of any type, at any dollar value, held by the

Offeror which were terminated for cause or for default (partial or complete) within the past three (3) years and subsequent corrective action.

The Offeror may also describe any specific quality awards or quality certifications received in connection with the referenced contract.

(Recommend 15 -20 lines.)

SOURCE SELECTION INFORMATION

The disclosure of which is restricted – See FAR 2.101 and 3.104