Attachment_4_-_Past_Performance_Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE

(This questionnaire is intended as a sample. Tailor the questionnaire to your technical/management subfactors/cost/price to solicit the information your PCAG will need to make their Performance Confidence Assessment. This questionnaire should be accompanied by a transmittal letter explaining its purpose.)

When filled in this document is source selection sensitive information iaw FAR 3.104

THIS QUESTIONNAIRE SHALL BE PROVIDED DIRECTLY TO CUSTOMERS FOR COMPLETION AND SUBMISSION. QUESTIONNAIRES RECEIVED FROM THE OFFEROR WILL NOT BE CONSIDERED. offerors shall be responsible for ensuring that customers submit completed questionnaires by the rfp due date to christopher.p.jordan13.civ@mail.mil (copy terri.l.rollins.civ@mail.mil)

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:________________________________________________________________________ K. Number of Guard Posts:________________________ L. Contract includes continuous operation (24/7) Security Operations Center (SOC)? Yes______ No______

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

B BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

P PURPLE/VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

G GREEN/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.

Y YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

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

N NOT APPLICABLE - Unable to provide a score.

*Please discuss each and every response for which you indicated B/E (Blue/Exceptional), P/VG (Purple/Very Good), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

Technical Approach

T1. Adequacy/effectiveness of proposed approach for operating a continuous Security Operations Center (SOC)

T2. Adequacy of proposed methods for staffing the SOC

T3. Adequacy of proposed methods of training personnel prior to assignment

T4. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements

T5. Ability to implement current standard practices for security services

T6. Adequacy/effectiveness of safety procedures

T7. Overall quality and effectiveness of Security Services

*Comments:__________________________________________________________________________________________________

Management Approach

M1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

M2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

M3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

M4. Understand/complied with customer objectives and technical requirements

M5. Successfully responded to emergency and/or surge situations

M6. Quality/effectiveness of sub-contracted efforts

M7. Effectiveness of material management (including Government Furnished Property or Material)

M8. Effectiveness of acquisition management

M9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

M10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

*Comments:__________________________________________________________________________________________________

Key Personnel

K1. Contractor ability to smoothly transition resources and personnel.

K2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

K3. Contractor’s ability to ability to retain and recruit qualified key personnel

*Comments:__________________________________________________________________________________________________

Cost Performance

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

*Comments:__________________________________________________________________________________________________

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

General Comments. Please provide any other relevant performance information.

Evaluator’s Signature

Date

PAST PERFORMANCE REF SHEET

PAST PERFORMANCE REFERENCES

Please ensure that this reference sheet is completed outlining Past Performance references used for the questionnaires. All offerors should submit this sheet as part of their proposal by the due date.

Reference Number 1:

Contract/Task Order Title

POC Name:

Title:

Customer Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Contract Type:

Reference Number 2:

Name:

Title:

Customer Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Contract Type:

Reference Number 3:

Name:

Title:

Customer Agency, Address:

Phone Number:

E-Mail Address:

Contract Title:

Contract No:

Contract POP:

Contract Value:

Contract Type: