Attachment_04-Past_Performance_Questionnaire.pdf

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SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

Past Performance Questionnaire

Special Operations Forces Personal Equipment Advanced Requirements (SPEAR) Family of Tactical

Headborne Systems (FTHS)-Coxswain Helmet System

H92403-18-R-0001

The purpose of this questionnaire is to obtain an evaluation of past performance on a contract that has been completed or is currently being performed by the Contractor identified in Area 1 below. You have received this questionnaire because the Contractor selected you to provide this evaluation in response to a request by the

United States Special Operations Command (USSOCOM) for past performance information. The information is to be provided directly to USSOCOM. Please return this questionnaire no later than _4:00 PM EST on 08

August 2018__ to Ms. Stephanie Simpson, stephanie.simpson@socom.mil.

1. CONTRACTOR IDENTIFICATION

1. Contractor: __________________________

2. Program Title: _______________________

3. Contract Number: ____________________

4. Type of Contract: ___________________

5. Period of Performance: _____________

6. Percent Complete: __________

7. Contract Value: ____________

8. Current Value: _____________

9. Award Fee (if applicable): __________ Percent of Award Fee Received: ____________

Note: For prime contractors, higher relevancy will be assessed for contracts that are most similar to the effort i.e. system design, scope of contract, level of ballistic and non-ballistic head/face protection, magnitude, and complexity to SPEAR FTHS-Coxswain Helmet System which are required to meet Special Operations mission profile. See Section M of the RFP for relevancy definition.

2. RESPONDENT IDENTIFICATION

1. Name: __________________________________________________

2. Agency: ________________________________________________

3. Position: ________________________________________________

4. Relation to Program: ______________________________________

5. Phone Number/Email Address: ___________________________

3. PROGRAM CHARACTERISTICS

1. Please provide a short description of the subject contract.

2. Please describe the following:

a: Detail the (scope) product/service of the contract effort b: Detail the (magnitude) total value and production demands (monthly delivery requirements, timelines, etc) of the effort mailto:stephanie.simpson@socom.mil

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c: Detail the (complexity) technical aspects of the design, manufacture and construction of the items.

4. PERFORMANCE LEVELS

1. PERFORMANCE GRADES (Use these grades to provide the overall rating where requested below).

Exceptional/blue 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.

Very Good/Purple 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.

Satisfactory/Green 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 appear or were satisfactory.

Yellow/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.

Unsatisfactory/Red 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.

5. QUESTIONS

1. TECHNICAL PERFORMANCE (please highlight your choice)

Overall, the contractor's technical and/or production performance is rated:

(Please pay particular attention to and detail any technical and/or production performance problems or strengths that may have been experienced by the contractor and how they addressed any problems.)

i: Blue/Exceptional ii: Purple/ Very Good iii: Green/Satisfactory/ iv: Yellow/ Marginal/ v: Red/ Unsatisfactory

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2. SCHEDULE/DELIVERY PERFORMANCE (please highlight your choice)

Overall, the contractor's schedule/delivery performance is rated:

(Please pay particular attention to and detail any schedule/delivery performance problems or strengths that may have been experienced by the contractor and how they addressed any problems.)

iii: Green/Satisfactory/

3. COST PERFORMANCE (please highlight your choice)

Overall, the contractor's cost performance is rated:

(Please pay particular attention to and detail any cost performance problems or strengths that may have been experienced by the contractor and how they addressed any problems.)

iii: Green/Satisfactory/

4. SUMMARY (please highlight your choice)

If you were given the choice, knowing what you know today, would you (pick one):

i: Definitely would not award this contract to this contractor ii: Probably would not award this contract to this contractor vi: Probably would, award this contract to this contractor vii: Definitely would award this contract to this contractor

Please explain: