FIA2T_AtchL-10_PastPerfRatingForm_20150728.docx

PAST PERFORMANCE RATING FORM

PAST PERFORMANCE PROJECT IDENTIFICATON (To be filled out by the Offeror):

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TO (dd-MMM-yyyy):

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PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

CAUTION

If your response includes information requiring protected dissemination (e.g., Classified or Proprietary), contact the FIA2T Contracting Officer, Mr. Ralph Urias, at (210) 925-1072 or ralph.urias@us.af.mil for specific delivery instructions.

Was the project contractual effort for Information Assurance related products (hardware and/or software), COMSEC equipment, cryptographic key material, data distribution management equipment, or ancillary and related equipment?

|_| Yes

|_| No

If Yes, summarize the specific work the contractor performed (limit to 250 words).

ADDITIONAL COMMENTS:

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Was the project solicited under or reported under a NAICS OR PSC CODE that correlates any NAICS CODE OR PSC CODE in Table 1?

|_| Yes

|_| No

If Yes, what was the predominate NAICS or PSC CODE that this project was solicited under or reported under in FPDS-NG or other documentation? (Provide only one)

If No, use Table 1 to determine the predominate NAICS or PSC CODE that best relates to the project, in your best judgment. (Provide only one)

For each of the Six (6) criteria listed below, the rater must choose One (1) Adjectival Rating by checking the box, as applicable. At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating. If Cost Control is N/A, Please explain why.

1. QUALITY OF SERVICE

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed 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 element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Satisfactory Performance meets contractual requirements. The element being assessed 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 element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS (limit to 250 words):

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2. SCHEDULE

Performance meets contractual requirements and exceeds many to the Government’s/Buyer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s/Buyer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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3. COST CONTROL

Performance meets contractual requirements and exceeds many to the Government’s/Buyer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s/Buyer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Not Applicable

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4. BUSINESS RELATIONS

Performance meets contractual requirements and exceeds many to the Government’s/Buyer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s/Buyer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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5. MANAGEMENT OF KEY PERSONNEL

Performance meets contractual requirements and exceeds many to the Government’s/Buyer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s/Buyer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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6. UTILIZATION OF SMALL BUSINESS

Performance meets contractual requirements and exceeds many to the Government’s/Buyer’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s/Buyer’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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FA8307-16-R-0049

FIA2T Section L Attachment L-10 – Past Performance Rating Form 28 July 2015

Table 1. Map of FIA2T Statement of Objectives (SOO) Areas to Product or Service Codes (PSCs) and North American Industry Classification System (NAICS) Codes Table defines only allowable PSC or NAICS for Past Performance Submittals justifying FIA2T SOO Relevant Work