PastPerformanceQuestionnaire_BAM.docx

ATTACHMENT J-4

PAST PERFORMANCE QUESTIONNAIRE

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

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ______________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

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 during the contract period by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

PERFORMANCE LEVEL

EXCEPTIONAL (E) (Blue) - During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded 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 were highly effective.

VERY GOOD (VG) (Purple) - During the contract period, contractor performance meets or met contractual requirements and exceeds or exceeded 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 were effective

SATISFACTORY(S) (Green) –During the contract period, contractor performance meets or met contractual requirements. The contractual performance of the element or sub-element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL (M) (Yellow) – During the contract period, contractor performance does not or did 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 (U) (Red) – During the contract period, contractor performance does not or did not meet most contractual requirements and recovery in a timely manner is not likely. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

NOT APPLICABLE (NA) (White) - Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

E

VG

S

M

U

NA

Technical Solution T1 Ability to meet or exceed technical requirements

T2. Quality/effectiveness providing appropriate solution licenses and maintenance

T3 Timeliness to provide technical support based on criticality

T4 Effectiveness of technical support response to software errors

Implementation IM1. Quality and timeliness of project setup and initiation

IM2. Understanding of customer technical solution requirements

IM3. Quality and accuracy of initial solution architecture and design

IM4. Ability to meet customer objectives and security requirements during implementation

IM5. Timeliness/accuracy of solution deployment schedule

IM6. Quality/effectiveness of quality assurance and testing

IM7. Effectiveness of configuration and backup strategy and documentation

IM8. Ability to transfer knowledge in a clear and concise manner

IM9. Quality/accuracy of final project documentation

E

VG

S

M

U

NA

Integration IN1. Ability to integrate with other applications

IN2. Contractor was reasonable and cooperative in dealing with staff and other contractors

Operational Solution O1. Quality/timeliness to provide stable operational solution

O2. Quality/effectiveness of training plan, curriculum and documentation

Past Performance Factor P1. Ability to meet or exceed technical performance

P2. Ability to meet or exceed supportability

Cost/Price Factor C1 Accuracy in forecasting contract costs

C2 Ability to meet forecasted costs and perform within contract costs

C3 Ability to alert Government of unforeseen costs before they occur

C4 Sufficiency and timeliness of cost reporting

2. Please discuss each and every response for which you indicated E (Exceptional), VG (Very Good), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

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

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

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspect in the performance of the contract? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing/Emailing Address: Email to christopher.p.jordan13.civ@mail.mil and lisa.a.odonnell4.civ@mail.mil

Or FAX to: Christopher Jordan at (618) 229-9177