Attachment_G_-_PRESENT_AND_PAST_PERFORMANCE_CONTRACT_QUESTIONNAIRE.pdf

ATTACHMENT G

26 February 2016

PRESENT AND PAST PERFORMANCE

CONTRACT QUESTIONNAIRE

SOLICITATION NUMBER: HDTRA116R0007

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than provided, please attach additional pages. Responses will be treated as source selection sensitive information. Please send completed questionnaire to dtra.belvoir.j4-

8c.list.tsg-support@mail.mil.

2. Explanation of codes:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - Performance meets contractual requirements and exceeds many

(requirements) to the Government's benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD - Performance meets contractual requirements and exceeds some

(requirements) to the Government's benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY - Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element being assessed 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.

U UNSATISFACTORY - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

A. Contractor: ________________________________________________

B. Contract number: ________________________________________________

C. Period of Performance: ________________________________________________

D. Negotiated price or cost at award: __________________________________________

E. Current estimated contract dollar amount: ____________________________________

F. Describe product/service. Please highlight any operational, technical, training and exercise support requirements, or activities related to the stated mission outlined in the

Statement of Work (SOW): ______________________________________

4. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

ASSESSMENT ELEMENTS

(a) Rate the contractor's ability to deliver at the agreed-to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).

E V S M U N

(b) Rate the contractor's ability to successfully manage the contracted services/support in order to meet the mission requirements on time.

(c) Rate the contractor’s management of subcontractors.

(d) Rate the contractor’s ability to hire and retain a quality and appropriately trained workforce to support this effort.

(e) Rate the contractor's responsiveness to providing replacement personnel. Was training provided and proper security clearances issued to ensure smooth transition of personnel?

(f) How would you rate the sufficiency of contractor internal quality control or review systems in place from the onset of the contract?

(g) Rate the contractor’s responsiveness/effectiveness in resolving difficulties of a technical, business, performance, and/or quality nature.

(h) Rate the effectiveness of overall contract management (including the ability to effectively lead, manage and control the program).

(i) Rate the contractor’s ability to successfully respond to urgent schedule change requirements without degradation to ongoing missions.

(j) What is your overall rating of the contractor’s performance? Why?

(k) Does the overall rating above differ from ratings in systems other than CPARS (i.e. PPIRS), award fee determinations, etc? YES NO

If so, why the difference.

(l) Given the choice, would you award to this contractor again and why?

(m) Are there other individuals we should send this questionnaire to? Please identify by name, organization, and phone number.

5. Please provide the name, title, address, phone number, and email address of the person completing this questionnaire.

Name:__________________________________________

Title: ___________________________________________

Address: _________________________________________

Phone No.: _______________________________________

Email: ___________________________________________

6. Thank you for your assistance in this source selection. If you have any questions, please contact us via email at dtra.belvoir.j4-8c.list.tsg-support@mail.mil. If you have classified (up to

SECRET) past performance information you wish to provide, send an email to the above address and a classified email address will be provided.

mailto:dtra.belvoir.j4-8c.list.tsg-support@mail.mil