Exhibit 2 Past Performance Questionnaire.pdf

Exhibit 2

Past Performance Questionnaire

Industrial Property Equipment Maintenance

Solicitation Number: N4215822RS007

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back.

Responses will be treated as source selection sensitive information. This form is available in electronic format (MS Word) or as "hard copy." Completed questionnaires may be emailed to:

Norfolk Naval Shipyard Contracting Department

ATTN: Jeremy Weible, Contract Specialist

Code 452

Phone: Commercial (757) 396-2063

Email: Jeremy.r.weible.civ@us.navy.mil

2. Explanation of codes:

CODE PERFORMANCE LEVEL

5 - Outstanding. Performance meets contractual requirements and exceeds many requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 - Excellent. Performance meets contractual requirements and exceeds some requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 – Satisfactory. Performance meets contractual requirements. Contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 - Marginal. Performance barely meets some contractual requirements.

Contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

1 - Unsatisfactory. Performance does not meet some or most contractual requirements and recovery is not likely in a timely manner. Contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

0 - Not Applicable. Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

a. Contractor: _____________________________________________________

b. Contract number: _________________________________________________

c. Period of Performance:_____________________________________________

d. Negotiated price or cost at award: ____________________________________

e. Current estimated contract dollar amount: _____________________________

f. Dollar value of work actually performed to date: _________________________

g. Describe product/ service acquired: ___________________________________

4. Assessment Elements. Circle the appropriate letter for each item on the questionnaire

(or if forwarding electronic copy via e-mail, “bold” the appropriate letter) and provide supporting narrative.

(1) Quality/Meeting Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

How would you describe your level of customer satisfaction?

HA A M U N

Were there instances of rework and/or deficiency reports? (If yes, explain)

Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?

(2) Quality/Timeliness.

Did the Contractor meet/comply with performance schedules?

Rate the timeliness of submission of requested information, reports and invoicing.

(3) Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:

respond to customer concerns isolate and resolve problems o the number and severity of problems, o the effectiveness of corrective actions taken.

Contractor's cost control. Did the contractor deliver at the agreed-to price/cost?

Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.)

5. Additional Observations/Information

Identify the contractor's overall strengths and weaknesses.

Given hindsight, are you satisfied that that the contract was awarded to the right contractor? Would you be pleased to have this contractor perform work for you again? Why?

Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.

6. Socioeconomic Past Performance.

Did the contractor meet (or exceed) applicable goals for utilization of small, small disadvantaged, woman-owned small business concerns, historically black colleges and universities and minority institutions?

7. Please provide the name, title, address, and phone number of the person completing this questionnaire.

Phone _______________ FAX ___________________

Thank you for your assistance in this source selection. If you have any questions, please call Jeremy Weible at Commercial (757)396-2063 or Email: jeremy.r.weible.civ@us.navy.mil.

mailto:jeremy.r.weible.civ@us.navy.mil