Appendix_L.3_-_Reference_Data_Sheet_-_Amendment_0002.pdf
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- EA133W-15-RP-0044
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Appendix L.3 - Reference Data Sheet - Amendment 0002
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Appendix L.3 to Request for Proposal (RFP) EA133W-15-RP-
Past Performance Reference Data Sheet
Instructions to Offerors: Forward this form to the persons whom you have selected to provide past performance references for your firm in sufficient time to permit them to complete and submit their responses by the date and time specified in Box 9 of Standard Form (SF) 33 for RFP EA133W-15-RP-0044.
Instructions to References: Upon completion of this form, send it directly to the NWS Contracting Officer at the following address:
Timothy Wampler AWIPS Contracting Officer National Weather Service Branch U. S. Department of Commerce/NOAA/EAD Norfolk Federal Building 200 Granby Street, Suite 815 Norfolk, VA 23510
The Offeror is required to fill in the table below prior to sending to the References.
Evaluator's Name
Title
Address
Telephone Number
Email Address
Date Completed
Name of Company Requesting Reference
Program or Task Order Title/Contract No.:
Contact Type
Total Task Order/Contract Value
Period of Performance
(From – To)
Agency/Customer Name:
Agency/Customer Address
Street
City/State/Zip
Telephone
Points of Contact
Contract Manager Program Manager
Name Name
Title Title
Organization Organization
Address Address
Tel. Tel.
Fax Fax
Email Email
Instructions to References:
Rate the Contractor from whom you received this form based on the level of success that firm achieved in meeting your agency's or company’s underlying business objectives, and achieving customer satisfaction.
1. Please provide the following past performance data:
Did the firm act as the prime Contractor for the effort?
YES NO
Did you ever issue a cure notice, show cause notice, suspension of progress payments, etc., associated with this contract?
YES NO
If yes, please explain:
If this contract/ subcontract was issued on an award or incentive fee basis, list the percentages earned of the available fee pool that were received.
Available Earned Available Earned
Period % Period % Period % Period %
2. Did the Contractor provide help desk support?
If so, was the help desk staffed 24/7/365?
YES NO
3. Did the program involve a scientific or engineering support system?
4. What was the number of locations (nodes) linked to the telecommunications network?
Locations (nodes):
5. Did the contract/subcontract involve maintenance of a Government mission-critical system?
If so, please identify the system, and the nature and extent of the Contractor /Subcontractor’s support:
6. Did the contract/subcontract involve high-availability systems (e.g., 99.9% system uptimes averaged quarterly)?
7. Did the contract provide for Continuity of Operations (COOP) or Critical Infrastructure Protection (CIP), involving offsite back-up systems and data?
8. What is the estimated number of users receiving help desk support/coverage on a daily basis?
Estimated number of users:
9. Were there service level agreements or performance metrics for this contract?
If yes, by whom were they generated?
Government Prime Contractor Subcontractor
If the performance metrics were generated by the prime or subcontractor, please respond to questions 10-12.
10. On a scale of 1 to 5, please rate how well the metrics aligned to your program goals or agency mission?
RATING CHECK BOX
Aligned—5
Somewhat Aligned—4
Neutral—3
Somewhat Disjointed—2
Disjointed—1
N/A—Not Applicable
Please explain the rationale for the rating given:
11. On a scale of 1 to 5, please rate how meaningful the service level agreements or performance metrics were or are.
RATING CHECK BOX
Meaningful—5
Somewhat Meaningful—4
Neutral—3
Somewhat Meaningless—2
Meaningless—1
12. On a scale of 1 to 5 please rate how satisfied you were, or are, with the service level agreements or performance metrics meeting your expectations.
RATING CHECK BOX
Satisfied—5
Somewhat Satisfied—4
Neutral—3
Somewhat Dissatisfied—2
Dissatisfied—1
13. Did the Contractor meet the goals of any negotiated Small Business Subcontracting Plan?
If no, how closely did the Contractor/Subcontractor approximate the targets set?
14. Were services performed within contract/subcontract cost?
If no, under what circumstances did any overruns occur? (Please explain in detail.)
15. Were the required services performed within schedule?
If no, please explain what caused delays?
16. Was Earned Value Management reporting a requirement on this contract?
If yes, please explain how useful the Contractor/Subcontractor’s reports were in terms of your ability to manage the contract/subcontract?
17. (a) Overall, rate the quality and timeliness of deliverables using the following rating scheme:
CHECK
BOX
RATING DEFINITION
Exceptional
Performance met all contractual requirements, and exceeded many to the Government’s benefit. The contractual performance was accomplished with few minor problems, for which corrective actions taken by the Contractor/Subcontractor were highly effective. The Contractor/Subcontractor was responsive in a timely manner to all requests from the Contracting Officer.
Very Good
Performance met contractual requirements and exceeds some to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor/Subcontractor was effective. The Contractor/Subcontractor was generally responsive in a timely manner to all requests from the Contracting Officer.
Satisfactory
Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the Contractor/Subcontractor appear or were satisfactory.
The Contractor/Subcontractor was often responsive in a timely manner to requests from the Contracting Officer.
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. The Contractor’s proposed actions appear only marginally effective or were not fully implemented. The Contractor/Subcontractor was rarely responsive in a timely manner to requests from the Contracting Officer.
Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective. The
CHECK
BOX
RATING DEFINITION
Contractor/Subcontractor was not responsive in a timely manner to all requests from the Contracting Officer.
(b) Were any of the deliverables re-worked?
(c) If re-work was necessary please explain what were the circumstances leading to the need for re-work?
(d) Did the re-work resolve the original issue(s)?
Please explain:
18. (a) Rate the Contractor’s approach to program management using the following rating scheme:
CHECK
BOX RATING DEFINITION
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor/Subcontractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor/Subcontractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the Contractor/Subcontractor appear or were satisfactory.
Marginal
Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the Contractor/Subcontractor has not yet identified corrective actions. The Contractor/Subcontractor’s proposed actions appear only marginally effective or were not fully implemented.
Unsatisfactory
Performance does not meet most contractual requirements and recovery in a timely manner is not likely. The contractual performance involves a serious problem(s) for which the Contractor/Subcontractor’s corrective actions appear to be or were ineffective.
(b) Can your relationship with the Contractor be described as collaborative?
(c) If not collaborative, how would you describe the relationship?\
19. (a) How effective was the Contractor in communicating problems, issues, successes, etc. using the following rating scheme:
CHECK
BOX RATING DEFINITION
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
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. The Contractor’s proposed actions appear only marginally effective or were not
CHECK
BOX RATING DEFINITION
fully implemented.
Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.
20. On a scale of 1 to 5 please rate how satisfied you were, or are, with the level of communications between your organization and the Contractor?
RATING CHECK BOX
Satisfied - 5
Somewhat Satisfied - 4
Neutral - 3
Somewhat Dissatisfied - 2
Dissatisfied - 1
N/A Not Applicable
21. On a scale of 1 to 5, please rate how satisfied the end users of the Contractor/Subcontractor’s products or services are.
RATING CHECK BOX
Satisfied - 5
Somewhat Satisfied - 4
Neutral - 3
Somewhat Dissatisfied - 2
Dissatisfied - 1
N/A Not Applicable
22. If given the opportunity, would you work with this Contractor on future projects?
Please provide an explanation for why or why not.
END OF PAST PERFORMANCE REFERENCE DATA SHEET
| Evaluator s Name: |
| Title: |
| Address: |
| Telephone Number: |
| Email Address: |
| Date Completed: |
| Name of Company Requesting Reference: |
| Program or Task Order TitleContract No: |
| Contact Type: |
| Total Task OrderContract Value: |
| Period of Performance From To: |
| AgencyCustomer Name: |
| Street: |
| CityStateZip: |
| Telephone: |
| Name: |
| Name_2: |
| Title_2: |
| Title_3: |
| Organization: |
| Organization_2: |
| Address_2: |
| Address_3: |
| Tel: |
| Tel_2: |
| Fax: |
| Fax_2: |
| Email: |
| Email_2: |
| undefined: Off |
| YES NO: |
| If yes please explain: Off |
| YES NO If yes please explain: |
| If this contract subcontract was issued on an award or incentive fee basis list the percentages earned of the available fee pool that were received: |
| Available: |
| Earned: |
| Available_2: |
| Earned_2: |
| Period Row1: |
| Period Row1_2: |
| Period Row1_3: |
| Period Row1_4: |
| Period Row1_5: |
| Period Row1_6: |
| Period Row1_7: |
| Period Row1_8: |
| Period Row2: |
| Period Row2_2: |
| Period Row2_3: |
| Period Row2_4: |
| Period Row2_5: |
| Period Row2_6: |
| Period Row2_7: |
| Period Row2_8: |
| Period Row3: |
| Period Row3_2: |
| Period Row3_3: |
| Period Row3_4: |
| Period Row3_5: |
| Period Row3_6: |
| Period Row3_7: |
| Period Row3_8: |
| Period Row4: |
| Period Row4_2: |
| Period Row4_3: |
| Period Row4_4: |
| Period Row4_5: |
| Period Row4_6: |
| Period Row4_7: |
| Period Row4_8: |
| Period Row5: |
| Period Row5_2: |
| Period Row5_3: |
| Period Row5_4: |
| Period Row5_5: |
| Period Row5_6: |
| Period Row5_7: |
| Period Row5_8: |
| Period Row6: |
| Period Row6_2: |
| Period Row6_3: |
| Period Row6_4: |
| Period Row6_5: |
| Period Row6_6: |
| Period Row6_7: |
| Period Row6_8: |
| If so was the help desk staffed 247365: Off |
| 3 Did the program involve a scientific or engineering support system: Off |
| undefined_2: Off |
| Locations nodes: |
| 5 Did the contractsubcontract involve maintenance of a Government missioncritical: Off |
| If so please identify the system and the nature and extent of the Contractor Subcontractors supportRow1: |
| averaged quarterly: Off |
| Protection CIP involving offsite backup systems and data: Off |
| Estimated number of users: |
| 9 Were there service level agreements or performance metrics for this contract: Off |
| Government: Off |
| Prime Contractor: Off |
| Subcontractor: Off |
| RATING: |
| Aligned5: |
| undefined_3: |
| undefined_4: |
| Neutral3: |
| undefined_5: |
| undefined_6: |
| Disjointed1: |
| undefined_7: |
| undefined_8: |
| Please explain the rationale for the rating givenRow1: |
| RATING_2: |
| Meaningful5: |
| undefined_9: |
| undefined_10: |
| Neutral3_2: |
| undefined_11: |
| undefined_12: |
| Meaningless1: |
| undefined_13: |
| undefined_14: |
| Please explain the rationale for the rating given: |
| Past Performance Reference Data Sheet: |
| RATING_3: |
| Satisfied5: |
| undefined_15: |
| undefined_16: |
| Neutral3_3: |
| undefined_17: |
| undefined_18: |
| Dissatisfied1: |
| undefined_19: |
| undefined_20: |
| Please explain the rationale for the rating given_2: |
| 13 Did the Contractor meet the goals of any negotiated Small Business Subcontracting Plan: Off |
| If no how closely did the ContractorSubcontractor approximate the targets setRow1: |
| Past Performance Reference Data Sheet_2: |
| 14 Were services performed within contractsubcontract cost: Off |
| If no under what circumstances did any overruns occur Please explain in detail: |
| 15 Were the required services performed within schedule: Off |
| If no please explain what caused delays: |
| 16 Was Earned Value Management reporting a requirement on this contract: Off |
| of your ability to manage the contractsubcontract: |
| RATING_4: |
| DEFINITION: |
| undefined_21: |
| undefined_22: |
| undefined_23: |
| undefined_24: |
| Marginal: |
| undefined_25: |
| DEFINITION_2: |
| CHECK BOXRow1: |
| RATINGRow1: |
| Please explain the rationale for the rating givenRow1_2: |
| bWere any of the deliverables reworked: Off |
| c If rework was necessary please explain what were the circumstances leading to the need for reworkRow1: |
| d Did the rework resolve the original issues: Off |
| Please explainRow1: |
| RATING_5: |
| DEFINITION_3: |
| undefined_26: |
| undefined_27: |
| undefined_28: |
| undefined_29: |
| Marginal_2: |
| undefined_30: |
| Please explain the rationale for the rating givenRow1_3: |
| Past Performance Reference Data Sheet_3: |
| b Can your relationship with the Contractor be described as collaborative: Off |
| c If not collaborative how would you describe the relationshipRow1: |
| RATING_6: |
| DEFINITION_4: |
| undefined_31: |
| undefined_32: |
| undefined_33: |
| undefined_34: |
| Marginal_3: |
| DEFINITION_5: |
| CHECK BOXRow1_2: |
| RATINGRow1_2: |
| fully implemented: |
| undefined_35: |
| Please explain the rationale for the rating givenRow1_4: |
| RATING_7: |
| Satisfied 5: |
| undefined_36: |
| undefined_37: |
| Neutral 3: |
| undefined_38: |
| undefined_39: |
| Dissatisfied 1: |
| undefined_40: |
| NA Not Applicable: |
| undefined_41: |
| Please explain the rationale for the rating givenRow1_5: |
| Past Performance Reference Data Sheet_4: |
| ContractorSubcontractors products or services are: |
| Satisfied 5_2: |
| undefined_42: |
| Somewhat Satisfied 4: |
| undefined_43: |
| undefined_44: |
| Somewhat Dissatisfied 2: |
| undefined_45: |
| undefined_46: |
| NA Not Applicable_2: |
| undefined_47: |
| Please explain the rationale for the rating givenRow1_6: |
| 22 If given the opportunity would you work with this Contractor on future projects: Off |
| Please provide an explanation for why or why notRow1: |
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