Attachment_7_Past_Performance_Questionnaire.doc

H92222-13-R-0013 Attachment 7

PAST PERFORMANCE QUESTIONNAIRE

SECTION I: CONTRACT IDENTIFICATION

A. Contractor: _________________________________________

B. Contract Number: ____________________________________

C. Type Contract/Task Order (Circle) CPFF CPAF T&M FFP LH Other:_____

a. Type security clearance required: Secret TS TS/SCI Other:______

b. Facility clearance required: Secret SCIF Other: _____

D. Total Contract/Task Order Current Value to Date: _________ Active: ___ Completed:____

E. Date of Award/Period of Performance: __________________________________________

F. Contract Completion Date (including extensions): _________________________________

G. Was this a competitive contract? Yes ____ No ____

H. Initial contract cost: ________________ Current./Final contract cost: ____________

I. Reasons for differences between initial contract cost and final contract costs, if applicable:

J. Indefinite Delivery/Indefinite Quantity (IDIQ) Contracts Only:

a. If this is a task order placed on an IDIQ contract (excluding GSA contracts), please provide the ceiling amount of the basic IDIQ contract: ________________

b. Please provide the ceiling amount of the task order referenced: _____________

c. Period of Performance for the IDIQ contract: ________________________

d. Period of Performance for the task order: ___________________________

K. Government Contracts Only: Has the contract been partially or completely terminated for default or convenience or are then any pending terminations? ____________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

Customer or agency name: ______________________________________________

Geographic location of services under this contract:___________________________________

SECTION 3: EVAUATOR IDENTIFICATION

Please provide information for primary individual completing this survey.

Evaluator’s Name/Title, Telephone Number, Mailing/e-mail Address:

B. Relationship to Contract (PM, CO, etc.)________________________

SECTION 4: EVALUATION

a. 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. The scale is defined as follows:

CODE

PERFORMANCE LEVEL

E EXCEPTIONAL (E) – Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

V VERY GOOD (V) – Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

S SATISFACTORY (S) – Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

M MARGINAL (M) – Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

U UNSATISFACTORY (U) – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE (N) – Unable to provide a rating. Contract did not include performance on this element or sub-element or information was not available. Do not know.

DISCLAIMER: If the evaluations provided conflict with CRS, CPARS will take precedence over

Individual evaluations.

b. For each question, please place an “X” in the box corresponding to the rating. Please provide supporting rationale for all ratings except “Satisfactory” or “Not Applicable”. The narratives need not be lengthy, just clear and concise. Space for narrative comments is provided at the bottom of the questionnaire.

CONTRACT/PAST PERFORMANCE INFORMATION QUESTIONNAIRE:

M1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program).

M2. Contractor was reasonable and cooperative in dealing with Government staff (including the ability to successfully resolve disagreements/disputes).

M3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

M4. Understood/complied with PWS

M5. Successfully respond to emergency and/or surge

M6. Ability to provide right skill mix to meet the requirements.

M7. Ability to maintain effective Quality Control Plan.

M8. Effectively put personnel in place to execute contract transition.

M9. Complied with Security requirements in getting personnel security clearances and safeguarding classified materials.

T1. Provided training and support needed to Geographic Combatant Commands (ELLIPSE) functional expertise to deploy and employ SOF through ELLIPSE series of exercises.

T2. Provides effective cyberspace exercise planning.

T3. Provided adequate support to Joint Training Support Center to ensure adequate capabilities will exist during training exercises

C1. Ability to perform within contract costs.

C2. Sufficiency and timeliness of cost reporting.

C3. Ability to alert Government of unforeseen costs before they occur.

C4. Ability to accurately invoice via Wide Area Workflow.

O1. Overall performance rating.

NARRATIVE SUMMARY FOR ALL CONTRACTS

(Do not include personal names in the narrative section.)

N1. What were the contractor’s greatest strengths in the performance of the contract?

N2. What were the contractor’s greatest weaknesses in the performance of the contract?

N3. Would you award another contract to this contractor?

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

1. Do you know of any other contracts performed by this contractor? If yes, please provide the following information, if know:

a. Contract Number: _______________________________

b. Contractor Name: _______________________________

c. Type of Contract: _______________________________

d. Status: Active_________ Complete________

e. Date of Award:__________________

f. Contract Amount: __________________

g. Contract Completion Date:__________________ Thank You!

Please return this by e-mail to Government POC, Jane Ellison at jane.ellison@socom.mil.

Once complete, this form contains Source Selection Information IAW FAR 3.104