Att G Past Performance Questionnaire.pdf

ATTACHMENT G

PAST PERFORMANCE QUESTIONNAIRE

MILITARY SEALIFT COMMAND (MSC) NEXT GENERATION WIDEBAND (NGW)

1. Past Performance Assessment. The Defense Information Technology Contracting Organization (DITCO), Scott Field Of-fice, a component of the Defense Information Systems Agency (DISA), is conducting a source selection for indefinite deliv-ery/indefinite quantity (ID/IQ) Military Sealift Command Next Generation Wideband contract(s). An Offeror has identified you as a point of contact concerning relevant past performance. As a result, please complete this questionnaire at your earliest conven-ience and return it to:

DISA/DITCO-Scott (PL8222), 2300 East Drive, Scott AFB, IL 62225-5406 Attn: MSC NGW Past Performance Team, E-Mail: XXX@disa.mil, or

Fax to (618) 229-9174/DSN 779

Requested response date for past performance questionnaires: XXXXX

DO NOT RETURN THIS QUESTIONNAIRE TO THE CONTRACTOR

If you need more space than that provided, attach additional pages. Responses will be treated as source selection sensitive information. If you have any questions, please contact the Past Performance Team at the e-mail address, above.

2. Contract Information. Please complete the following:

Contractor:

Contract Number:

Period of Performance:

Dollar Amount at Award:

Dollar Amount at Completion (or Current Dollar Amount, if not Completed):

Contract Type (Firm, Fixed Price; Time and Material, Cost Reimbursement, etc.)

Describe the Products or Services:

3. Contract Relevancy. For the purposes of determining contract relevancy, please identify which of these MSC NGW task ar-eas that appear similar to the work performed under the contract identified in Section 2, above (check all that apply).

To check a box, right-click on the box, choose “Properties,” and click on “Checked” under “Default Value.”

Task Area 1 - System Performance:

Task Area 2 - System Integration and Operations

Task Area 3 - Schedule

Task Area 4 - Program Management

4. Performance Assessment Values. Use these definitions when completing the assessment elements in Section 5.

4 - Exceptional. Highly relevant past performance in all evaluated efforts. Performance met contractual requirements and exceeded many to the Government’s benefit. The contractual performance of the element or sub-element being as-sessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effec-tive.

3 - Very Good. Highly Relevant past performance in most evaluated efforts. Performance met contractual requirements and exceeded some to the Government’s benefit. The contractual performance of the element or sub-element being as-sessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

2 - Satisfactory. Highly relevant past performance in evaluated efforts. Performance met contractual requirements. 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 were satisfactory.

1 - Unsatisfactory. Few relevant past performance efforts evaluated. Performance did not meet most contractual re-quirements and recovery in a timely manner is not likely (applies to ongoing efforts). The contractual performance of the element or sub-element had serious problem(s) for which the contractor took no corrective actions or those taken were ineffective.

0 - Not Applicable. No performance record is identifiable. Completely lacks recent and relevant performance history or past performance is unavailable.

5. Assessment Elements. Please BOLD and underline (or if returning by fax or email, please circle or underline) the appropri-ate number for each item on the questionnaire and provide supporting narrative.

a. Quality of Product or Service. Rate the Offeror’s conformance to contract requirements, specifications, quality of services, and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health stan-dards.)

4 3 2 1 0

Comments:

b. Schedule. Rate the Offeror’s timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance.

c. Business Relations. Rate the Offeror’s integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness, and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior, customer satisfaction, timely award and management of subcontracts, and whether the contractor met small business, small disadvantaged business, small business HUBZone, veteran-owned small busi-ness, service disabled veteran-owned small business, and women-owned small business participation and subcontracting goals.

d. Management of Key Personnel. Rate the offeror’s key personnel, to include adequacy of training and level of expertise, as well as the offeror’s ability to select, retain, and when necessary, replace, key personnel.

e. Socioeconomic Goals. Rate the offeror’s ability to meet small business subcontracting goals, if applicable.

f. Subcontracting Management. Rate the offeror’s ability to manage its subcontracting responsibilities, considering the offeror’s record relative to the timely award of subcontracts and payment of subcontractors along with any significant subcontracting is-sues that resulted in contract cost, schedule, and/or performance problems.

g. Recommendation. To what extent would you recommend this contractor for additional contracts? Rate on the following scale: 5 = Yes, definitely; 4 = Yes, likely; 3 = Maybe, 2 = No, not likely; 1 = No, not ever; 0 = N/A.

5 4 3 2 1 0

6. Other References. If you are aware of any other contract or program points of contact (POC) who are familiar with the con-tractor’s performance under this contract, please identify.

Name, Phone and E-Mail Address:

7. Assessor Information. Please provide the following information about yourself:

Name:

Title:

Address:

Phone Number:

E-Mail Address:

Thank you for your assistance in supporting this source selection activity.