Attachment_3.doc

DTMC75-15-R-00006

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

Name of Contractor Submitting Proposal:

Names and Address of Customer:

Contract/Identification Number:

Contract Type:

Place of performance:

Date of award & period of performance:

Contract Value at Award:

Contract value at completion:

Point of Contact w/Title, Telephone Number, Fax Number and E-Mail Address:

Name:

Title/Role:

Phone:

Email:

Administrative Contracting Officer, if different from above with contact information:

Indicate whether the work was performed as a prime or subcontractor:

You have been identified as a past performance reference for the contractor indicated above. This contractor is proposing on a Department of Transportation, Federal Motor Carrier Safety Administration acquisition for the Technology Division. Past performance is an important evaluation criterion for the acquisition. We value your input and appreciate your willingness to complete this questionnaire. Please indicate within your comments for each element if performance observed related to contracting support services.

Please complete the questionnaire and return it via e-mail attachment to melinda.riddick@dot.gov no later than 2:00 PM, July 23, 2015. If you have questions, on this form please contact Melinda Riddick, at (202) 366-7505.

Please note that by law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor.

INSTRUCTIONS

Next to each of the questions/review areas annotate with one of the rating listed below with supporting comments. Please complete for each area. You may attach continuation sheets.

Please read the statements below, indicating your relative level of agreement in the box provided, by placing a check under 1 for STRONGLY DISAGREE, under 2 for DISAGREE, under 3 for SOMEWHAT AGREE, 4 for AGREE, and 5 for STRONGLY AGREE.

NOTE: Definitions

1. Excellent - Proposal demonstrates an understanding of all of the contractual requirements and an approach that significantly exceeds many performance or capability standards.

2.

Good - Proposal demonstrates an understanding of the contractual requirements and an approach that exceeds some performance or capability standards.

3.

Satisfactory - Proposal demonstrates an understanding of the contractual requirements and an approach that meets performance or capability standards.

4.

Marginal - Proposal demonstrates does not meet some contractual requirements and the approach appears minimal or not fully implemented.

5.

Unsatisfactory - Proposal fails to meet performance or capability standards. Requirements can only be met with major re-write of the offer.

Excellent

Good Satisfactory Marginal Unsatisfactory a.) QUALITY OF PRODUCT OR SERVICE:

(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship including being compliant with user requirements, including: responsiveness to changing user requirements; achievement of project objectives; use of innovative technical, contractual, or business approaches; and accuracy and thoroughness of reports and documentation.

Rating and Comment:

(2) The Contractor utilized personnel that were appropriate to the effort performed.

(3) The Contractor’s demonstrated knowledge/skills in high voltage electrical system in electric and hybrid commercial motor vehicle.

(4) The ability of the contractor to develop and present instructional course design guides to provide training on inspecting high voltage hazards on electric and hybrid vehicles. Rating and comment:

(5) The contractor’s ability to write high quality policy documents that are technically sound, concise and error free.

Rating assigned and comment:

(6) The contractor’s ability to provide specialized and expert research advice, consultation, and submit draft instructional course design:

Rating and comment:

b.) COMPLIANCE WITH CONTRACT PROVISIONS AND SCHEDULES:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Offeror complied with Task/Delivery Order and Contract Provisions, including: administrative requirements; adherence to contract schedules (including interim project milestones); completed work efforts on time; and provided accurate and timely contract management reports, including financial reports.

(4) The contractor’s ability to manage multiple projects relating to Instructional Design Guides for Inspecting Electric & Hybrid-Electric Commercial Vehicles.

Rating and comments:

c.) COOPERATIVE BEHAVIOR:

(1) The Offeror maintained a reasonable and cooperative attitude throughout contract performance with the customer, teaming partners, and other contractors or subcontractors.

Rating and comments:

(2) The Contractor was responsive to technical and/or contractual direction.

Rating and comment d.) BUSINESS RELATIONSHIPS AND COST MANAGEMENT :

1) The Contractor demonstrated effective management over the effort performed.

Rating and comment

(2) The Contractor maintained an open line of communication so that the COR and/or Technical Point of Contact were apprised of technical, cost, and schedule issues.

(3) The Contractor demonstrated a corporate commitment toward the project or program in terms of providing required, fully trained and skilled personnel, facilities, and other applicable support to ensure an efficient and smooth operation.

(4) The Contractor promptly notified the Contracting Officer’s Representative, Technical Point of Contact, and/or Contracting Officer in a timely manner regarding urgent issues and demonstrated its ability to call upon corporate resources to fill urgent or unusual requirements.

(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

(7) The Contractor demonstrated effective cost containment and forecasting on cost reimbursement contracts AND/OR delivered quality goods and services in a timely manner in fixed price contract.

(8) The Contractor was responsible for most changes to the fixed price contract, tasks, or delivery orders.

e.) CUSTOMER SATISFACTION:

(1) The products/services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or the Technical Point of Contact.

(3) I am satisfied with the performance of the Contractor under this effort.

f.) CORPORATE COMMITTMENT:

(1) ( Corporate Commitment: The Offeror’s corporate management provided support to the contract team to facilitate meeting contract requirements.

(2) The Offeror honored commitments to providing value-added corporate support promised in its proposal.

NARRATIVE EXPLANATION

NOTE: Please use space below for additional Comments that would aid in determining past performance history of this contractor’s performance.