Section_L_Attachment_L3_-_Past_Performance_Questionnaire_Form.docx

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 AND FAR 3.104

SAMPLE LETTER FOR THE PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for the ENCORE III IDIQ contract.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at steven.w.francoeur.civ@mail.mil or 618-229-9672.

//signed//

1 Atch Past and Present Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

SECTION I: CONTRACT IDENTIFICATION

1. Contractor: __________________________________________________________

2. Cage Code of contractor contract was awarded to: ___________________________

3. Contract number: __________________________________

4. Contract type (e.g., firm fixed price, cost plus, etc.): _____________________________

5. Was this a competitively awarded contract? Yes _____ No _____

6. Period of performance: __________________________________________________

7. Initial contract cost: $____________________________

8. Current/final contract cost: $_______________________________

9. Reasons for differences between initial contract cost and final contract cost: _____________

10. Description of service provided:_________________________________________________

11. Geographic description of services under this contract, e.g., local, nationwide, worldwide, other Commands, etc.: _______________________________________________________

SECTION II. EVALUATOR AND AGENCY IDENTIFICATION

1. Agency (customer) name: __________________________________________________________________________

2. Evaluator's name and title: ____________________________________________________

3. Evaluator's phone number and email address: __________________________________________________________________________

SECTION III. PAST PERFORMANCE QUESTIONS/EVALUATION

(Circle your response, and/or provide written responses, when applicable.)

1. Technical Performance

a. Did the contractor meet the technical requirements of the PWS/SOW? Yes____No____

If no, please explain: ___________

b. What was the overall quality of the contractor’s performance? _____________________

2. Program Management

a. Did the contractor effectively manage and direct the contract? Yes____No____

If no, please explain: ___________

b. Did the contractor maintain good business relations with the agency? Yes____No____

If no, please explain: ___________.

3. Transition/Phase-In Did the contractor smoothly transition its resources and personnel? Yes____No____

If no, please explain: ___________

4. Employee Staff and Retention

a. Did the contractor recruit, hire, train and retain a qualified workforce with the appropriate skill levels during the term of the contract, and maintain a low turnover rate? Yes____No____

If no, please explain: ___________

b. Did the contractor replace departing personnel with employees of the same quality and skills and do so with minimal disruption to contract performance? Yes____No____

If no, please explain: ___________

5. Cost Performance

a. Did the contractor effectively forecast, manage and control costs? Did it alert the agency of unforeseen costs before they occurred? Yes____No____

If no, please explain: ___________

b. Did the contractor meet forecasted costs and perform within contract costs? Yes____No____

If no, please explain: ___________

For question number 6, please use ONE of the following performance levels to answer the question:

SATISFACTORY - During the contract period, contractor performance meets or met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.

UNSATISFACTORY - During the contract period, contractor performance does not or did not meet most contractual requirements and recovery in a timely manner is/was not likely. The contractual performance contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

6. What is your OVERALL level of satisfaction with the contractor’s performance? Underline one.

Satisfactory Unsatisfactory

SECTION IV. RETURN OF COMPLETED FORM

Please return your completed form to:

Email Address: disa.scott.ditco.mbx.encore3@mail.mil Subject Line Reference: RFP HC1028-15-R-0030, [Contractors Name] Past Performance Questionnaire, Source Selection Information See FAR 2.101 and 3.104