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Attachment 1: Past Performance Cover Letter and Questionnaire
LETTER FOR THE PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104
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 a Support Services contract at Annapolis, MD.
Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, you can contact Stephanie Cruz at stephanie.l.cruz6.civ@mail.mil or at (301) 225-4085 or Anke Taylor at anke.c.taylor.civ@mail.mil or (301) 225-4118. I can be contacted at (301) 225-4063 or at michael.d.jackson119.civ@mail.mil.
| Michael D. Jackson |
| Contracting Officer | |
Attachment 1:
Past and Present Performance Questionnaire
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________
| __________________________ |
| __________________________ |
Brief Description of Work/Title of Effort: _____________________________________*
Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*
Contract Period or Dates of Performance Provided by Offeror: ______________________*
Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.
* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.
B. RESPONDENT INFORMATION:
Name of Respondent: _____________________ Title: ____________________________
| Address: _____________________ | Telephone Number: ___________________ _____________________________ | Fax Number: | _____________________ |
| _____________________________ | Email Address: _____________________ | | |
C. FAX COMPLETED SURVEY FORM TO: __________________________________
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Not Applicable |
| 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. |
| 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-Velement being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| 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. |
| 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. |
| 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. |
| Unable to provide a rating. Contract did not include performance for this aspect. Do not know. |
CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________
Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.
Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| E |
| VG |
| S |
| M |
| U |
| N |
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4. |
| Home office participated in solving significant local problems. |
| 5. |
| Followed approved quality control plan. |
| 6. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 7. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 8. |
| Provided timely resolution of contract discrepancies. |
| 9. |
| Identified problems as they occurred. |
| 10. |
| Suggested alternative approaches to problems. |
| 11. |
| Displayed initiative to solve problems. |
| 12. |
| Developed realistic progress schedules. |
| 13. |
| Met established project schedules. |
| 14. |
| Provided timely resolution of warranty defects. |
| 15. |
| Was responsive to contract changes. |
| 16. |
| Provided adequate project supervision. |
| 17. |
| Provided qualified personnel for all aspects of the work required |
| 18. |
| Personnel familiar with and qualified to work with the Defense Property Accounting System. |
| 19. |
| Capable of Maintaining facilities and manage upkeep and maintenance |
| 20. |
| Capable of providing DCO and VTC operations back-up support |
| 21. |
| Capable of establishing and maintain internal controls and performance measures to achieve consistently high level of quality control. |
| 22. |
| Provided accurate and complete line item cost proposals including all aspects of work required for each task. |
| 23. |
| Cooperated with Government personnel after award. |
| 24. |
| How would you rate the contractor's overall performance? |
| 25. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
YES/NO
| 26. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
YES/NO
| 27. |
| Is the contractor rated in Past Performance Information Retrieval System (PPIRS)? |
| YES/NO |
Remarks:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________