Atch7_DLOG_Past Performance Questionnaire.doc

UNCLASSIFIED//FOUO

Attachment 7

HC1047-11-R-4021

Past Performance Questionnaire

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

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 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 – 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 a few minor problems for which corrective actions taken by the contractor was highly effective.

P PURPLE/VERY GOOD - 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.

G GREEN/SATISFACTORY – During the contract period, contractor performance is meeting (or met) all contractual requirements. For any problems encountered, contractor took effective corrective action.

Y YELLOW/MARGINAL – During the contract period, contractor performance does not or did not meet some contractual requirements. The contractor’s proposed corrective actions appear only marginally effective or were not fully implemented.

R RED/UNSATISFACTORY – During the contract period, contractor performance does not or did not meet most contractual requirements and recovery is not likely in a timely manner. Corrective actions were either ineffective or non-existent.

N NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

Technical Performance

T1 Quality & repeatability of operations & maintenance.

T2. Quality of capability to apply an ITIL process or similar

T3 Efficiency of sustaining support of a worldwide telecommunications network.

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

T5 Ability to implement current standard practices for Net Assurance.

T6 Ability to detect and defend network attacks/intrusions.

T7 Ability to support contingency operations.

Program Management

P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

P4. Understand/complied with customer objectives and technical requirements

P5. Successfully responded to emergency and/or surge situations

P6. Quality/effectiveness of sub-contracted efforts

P7. Effectiveness of material management (including Government Furnished Property or Material)

P8. Effectiveness of acquisition management

P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Transition/phase-in

T/PI1. Contractor ability to smoothly transition resources and personnel.

T/PI2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

Employee Retention/Attraction

E1. Ability to hire/apply a qualified workforce for this effort.

E2. Ability to retain a qualified workforce on this effort.

E3. Effectiveness of employee compensation towards quality of work.

E4. Ability to hire within a short time frame a workforce with required high-level security clearances (i.e., TS/SCI)

Small and Small Disadvantaged Business Participation

S1. Ability to meet or exceed small business goals set forth in the approved subcontracting plan

S2. Ability to effectively manage small business participation to meet technical performance.

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

1. 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).

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

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!

Questionnaire Due Date and Time: Thursday, 1 September 2011, 17:00 Eastern Time (ET).

Delivery Means:

EMAIL (preferred): Questionnaires may submitted electronically to the Contracting Officer at Clare.Grason@dia.mil, and the Contract Specialist James.Shumway@disa.mil. The E-mail subject line shall read: PCAG Questionnaire: DLOG.

U.S. POSTAL SERVICE: Questionnaires postmarked 30 August 2011 or sooner may also be mailed directly to the Contracting Officer at the following address:

Department of Defense (DoD)

Attn: Clare A. Grason

P.O. Box 549

Fort Meade, MD 20755 Other: All questionnaire content must be UNCLASSIFIED.

PHONE: (301)225-4111

SAMPLE QUESTIONNAIRE COVER LETTER

LETTERHEAD

(Date)

FOR OFFICIAL USE ONLY

The Department of Information Systems Agency, Component Acquisition Executive (CAE) Directorate is in the process of selecting a contractor for the Omnibus Network Enterprise (ONE) program. The ONE AoS includes support services needed to operate, defend and sustain information networks used by the nation’s warfighters.

One of the considerations in proposal evaluation is the verification of the offerors' past and present performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had first hand experience with an offeror, for the evaluation of the offeror's performance on those contracts.

Our areas of interest in the offeror are summarized in the enclosed questionnaire. As discussed in our initial phone contact with your office, our schedule is extremely tight and we need your written response no later than 15 calendar days after your receipt of this letter.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out by hand and "faxed" to XXXXX-XXXX (Attention: ______________) or you can email your completed questionnaire to ___________.

Please call _______________at XXXXX-XXXX prior to fax transmission or if you have any questions. Your completed questionnaire will become a part of the official contract file.

Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Signature

1 Atch

Questionnaire

UNCLASSIFIED//FOUO