Attachment_1_-_Past_Performance_Questionnaire.pdf

ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

PERFORMANCE ENHANCEMENT WORKSHOPS

H92239-18-Q-0001

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL

NOT BE RELEASED TO THE OFFEROR.

SECTION 1: CONTRACT IDENTIFICATION

(to be completed prior to mailing or faxing to the respondent)

A. Contractor's Name: ________________________________ B. Contract number: __________________________________ C. Contractor's Role in the contract identified above: Prime: Yes _____ No _____

Subcontractor to Prime? If Yes, who?______________ D. Cage Code: _________________________________ 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

(to be completed prior to mailing or faxing to the respondent)

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

(to be completed by the respondent)

A. Evaluator's name: __________________________________________________________________________ B. Evaluator's title/role: ________________________________________________________________________ C. Evaluator's phone/fax number: ________________________________________________________________ D. Number of years evaluator worked on subject contract: ____________________________________________

SECTION 4: EVALUATION

(to be completed by the respondent)

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

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or 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 being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

Program Management E V S M U N/A

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 support

Effectiveness in scheduling and maintaining instructor ratios

Technical Performance E V S M U N/A

Perform to standards of the tasks required to present MFF Training

Perform to standards of providing instructors with aircraft certifications and licenses

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

Perform to standards of implementing current standard practices and specifications

Specific Tasks E V S M U N/A

Arch Angel Military Free Fall (MFF) Training.

Aircraft Support CASA 212 aircraft.

Ability to provide Vertical Wind Tunnel training as needed throughout the contract year

Ability to provide Canopy Control Instructors as needed throughout the contract year

If lodging was used do it meet your requirements for the personnel the contractor supported

Employee Retention/Attraction E V S M U N/A

Ability to hire/apply a qualified workforce

Ability to retain a qualified workforce

Maintain qualifications and certifications o all Contractor personnel

1. Please discuss each and every response for which you indicated a M (Marginal) 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!

RETURN YOUR COMPLETED QUESTIONNAIRE TO:

HQ, USASOC, DCSC

ATTN: SFC Shannon Booker E2929 Desert Storm Drive Fort Bragg, NC 28310

Or via EMAIL to: shannon.booker@socom.mil and rowena.godaire@socom.mil mailto:shannon.booker@socom.mil mailto:rowena.godaire@socom.mil

SECTION 1: CONTRACT IDENTIFICATION (to be completed prior to mailing or faxing to the respondent)