TE_7-PAST_PERFORMANCE_QUESTIONNAIRE-Fillable.pdf

PAST PERFORMANCE QUESTIONNAIRE

For

SOLICITATION NUMBER-H92239-16-R-0002

SERE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _____________________________________

Subcontractor to Prime? Y/N If Yes, who?________________

B. Cage Code: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs: _____________________

J. Description of service provided: ____________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _________________________________________________________________

B. Customer or agency description (if applicable): _________________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name: __________________________________________________________________________

B. Evaluator's title: ____________________________________________________________________________

C. Evaluator's phone/fax number: ________________________________________________________________

D. Number of years evaluator 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:

CODE PERFORMANCE LEVEL

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

NA NOT APPLICABLE - Unable to provide a score.

Program Management S US NA

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

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

Understand/complied with customer objectives and technical requirements and regulations

Contractor implemented responsive/flexible processes to improve quality and timeliness of

Program Management S US NA support

Effectiveness in scheduling and maintaining instructor ratios

Technical Performance S US NA

Perform to standards of instruction for all courses.

Perform to standards of technical and tactical competence for the contracted courses.

Perform to standards as it applies to communicative skills in the application and limitations in the use of physical and psychological pressures in the conduct of safe role-play activity.

Perform to standards of quality control program and adherence to contract quality assurance requirements

Perform to standards of implementing current standard practices and specifications

Employee Retention/Attraction S US NA

Ability to hire/apply a qualified workforce to this effort

Ability to retain a qualified workforce on this effort

Maintain qualifications, certifications and clearances on all Contractor personnel

1. Please discuss each and every response for which you indicated or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes____ Default____ Convenience____ Pending Terminations____

No ____

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

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? Yes or No (Circle One)

Please provide any additional comments concerning this contractor’s performance in a separate document.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Lanora Means, Contract Specialist, lanora.means@soc.mil and

Jennifer Z. Payne, Contracting Officer, jennifer.payne@soc.mil mailto:lanora.means@soc.mil mailto:jennifer.payne@soc.mil