Past_Performance_Questionnaire.doc

SECTION L

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

**When completed, this document is Source Selection Information IAW FAR 3.104**

SECTION 1: CONTRACT IDENTIFICATION (TO BE COMPLETED BY OFFEROR)

A. Contractor

B. Contractor CAGE Code

C. Role (check): Prime Subcontractor Teaming Partner Joint Venture Partner

Other (specify)

If subcontractor, partner or other, who is the Prime?

D. Contract

Task Order

Note: If the referenced contract is an overarching ID/IQ or BPA, the Government will not assess performance on the individual underlying task orders, call orders, etc. If the offeror would like assessment of the task order or call order, the offeror shall submit that as a separate reference.

E. Contract Type:

F. Period of Performance:

G. Place(s) of Performance (CONUS, OCONUS):

H. Annual Contract/Task Order $ Value:

I. Description of Service(s) provided (Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or commercial work):

*****FOLLOWING SECTIONS COMPLETED BY GOVERNMENT OR CIVILIAN AGENCY*****

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description

SECTION 3: EVALUATOR IDENTIFICATION

A. Name

B. Title

C. Phone/Fax

D. E-mail

E. Years worked on Subject Contract

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Ability of Contractor to: provide accurate deliverables/reports; meet service specifications of the contract; provide timely proposals; respond to short notice requirements; work independent of government guidance, oversight, and assistance; responsiveness in identifying, correcting, and preventing initial and recurring contract discrepancies; provide and adhere to quality control/management plan (when required); comply with federal, state, and local regulations from both the safety and environmental aspects.

Explanation:

Ability of Contractor to provide deliverables/reports required by the contract on time

Ability of Contractor to: provide accurate contract costs/estimates; track and control costs; meet and perform within negotiated costs; provide current, accurate and complete invoices/billing; submit cost reporting information in a timely manner; document annual costs; provide accurate and reasonable cost estimates on work over and above the basic contract requirements; meet cost/price performance targets and contingencies (i.e., changes, claims, request for equitable adjustments, request for proposals, etc.).

Ability of Contractor to: maintain effective relationship between key Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate changes in mission-related requirements; respond and act on customer feedback.

Ability of Contractor to: attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements; manage subcontractors to include identification and resolution of subcontractor problems; resolve labor disputes / disagreements; effectively negotiate collective bargaining agreements with unions; ensure continuation of services during personnel absences or vacancies; replace/fill vacancies within timeframe specified; maintain training/certification currency

Ability of Contractor to: obtain appropriate company and personnel security clearances in a timely manner; ensure personnel comply with applicable security requirements; safeguard classified materials

Ability of contractor to transition into assuming full performance responsibility from the incumbent contractor; to attract, recruit, hire, train and provide qualified management, and key and technical personnel during the transition period and throughout the contract performance period to accomplish mission requirements

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or is there any pending terminations? (Place an “X” by all that apply.)

Yes No Default Convenience Pending Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

B. Would you have any reservations about having this contractor perform again on one of your critical and demanding programs?

Evaluator’s Signature

Date