Atch_10_PPQ_Amend_01.doc

H92222-14-R-0021-0001 Attachment 10 Revision 1

PAST PERFORMANCE QUESTIONNAIRE SWMS GROUP B

PART I INSTRUCTIONS: THE OFFEROR SHALL COMPLETE PART 1 BEFORE SENDING THE QUESTIONNAIRE TO THE CUSTOMER.

Check the applicable Group B taxonomy that corresponds with the referenced service:

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Education & Training

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Management Support Services

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Administrative & Other Services

PART I: CONTRACT IDENTIFICATION

No FORMCHECKBOX

SWMS Prime Offeror Name & Cage Code:

Contract/TO Title: ______________________________________________

Contract/TO Number: __________________________________________

Project Name: _________________________________________________

Prime Offeror;

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Joint Venture Component of Prime Offeror; or

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Subcontractor

If Prime Contractor, list Major Subcontractor(s), if applicable:

Federal Agency FORMCHECKBOX Commercial Organization

Customer Name:

Contract/TO Contracting Officer Contact information:

Name &Title:

Phone No. :

Address:

Contract/TO COR Contact information:

Name &Title:

Other Contract/TO Technical POC(s) Contact information:

Name &Title:

Contract/TO Period of Performance:

FFP; FORMCHECKBOX

T&M; FORMCHECKBOX

CPFF; FORMCHECKBOX

Other (hybrid)

Original Contract/TO Total Value:

Current Contract/TO Total Value:

PART 2 INSTRUCTIONS: CUSTOMER RESPONDENT, PLEASE COMPLETE THIS QUESTIONNAIRE AND E-MAIL TO KAREN.STEVENS@SOCOM.MIL AND SHERRI.ASHBY@SOCOM.MIL, NO LATER THAN THE CLOSING DATE OF THE REQUEST FOR PROPOSAL IDENTIFIED IN SECTION L. THE “SUBJECT” LINE IN THE SUBMISSION EMAIL SHALL CLEARLY INDICATE: “SWMS Group B PPQ Submission for Prime Offeror XXX”.

PART 2: EVALUATION

Name and Title of Person Completing Questionnaire:

Contact Information of Person Completing Questionnaire:

Your Role in this Contract/TO:

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. Narratives should be just clear and concise. Space for narrative comments is provided at the bottom of the questionnaire. The ratings are defined as follows:

CODE

PERFORMANCE LEVEL

E EXCEPTIONAL – 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 – 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 – 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 – 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 – 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 – Unable to provide a rating. Contract did not include performance on this element or sub-element or information was not available. Do not know.

M1. Provided effective management of personnel resources to include geographically dispersed work locations as required

M2. Was effective and responsive in allocating sufficient personnel resources in the performance of customer requirements

M3. Demonstrated ability to hire, maintain, retain, and replace, if necessary, qualified personnel during the contract period.

M4. Timeliness of awards to subcontractors and management of subcontractors, including subcontract costs. Early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime contractor performance.

M5. Was effective and efficient in hiring adequate personnel based on existing, new, and emerging requirements.

M6. Effectively managed cost, schedule, and performance to meet customer

Requirements.

M7. Ability to maintain effective Quality Control Plan; provided effective quality control and/or inspection procedures to meet contract requirements.

M8. Corrected deficiencies in timely manner and pursuant to their quality control procedures

M9. Ensured quality/effectiveness of subcontracted efforts.

M10. Ability of Contractor to detect, disclose, avoid, and mitigate OCI issues/risks.

M11. Ability of Contractor to provide employee conflict of interest training and compliance with non-disclosure policy.

M12. Complied with Security requirements in getting personnel security clearances and safeguarding classified materials.

T1. Understood/complied with customer technical requirements

T2. Understood/complied with customer-specific processes as required

T3. Provided effective quality control and/or inspection procedures to meet contract requirements

T4. Corrected deficiencies in timely manner and pursuant to their quality control procedures

T5. Identified problems as they occurred and suggested alternative resolutions

T6. Displayed initiative to solve problems

T7. Developed, tracked, and maintained realistic schedules

T8. Was efficient and timely in performance and delivery of services

C1. Was accurate in forecasting contract costs

C2. Met forecasted costs and perform within contract costs

C3. Alerted Government of unforeseen costs before they occur

C4. Sufficiency and timeliness of cost reporting

C5. Current, accurate and complete billings

C6. Identified problems as they occurred and suggested alternative resolutions

C7. Paid subcontractors in a timely manner

C8. Provided accurate and complete line item cost proposals including all aspects of work required for each task

OCP1. How would you rate the contractor's overall performance?

YES FORMCHECKBOX

NO

OCP3. Was the contractor ever issued a full or partial termination for default or termination for convenience under the referenced contract? If yes, explain outcome in OCP3 below

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YES FORMCHECKBOX

NO

YES FORMCHECKBOX

NO

NARRATIVE SUMMARY

(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?

OCP2. If marked yes, explain outcome here.

OCP3. If marked yes, explain outcome here.

OCP4. If marked no, explain here.

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