Past Performance Questionnaire-R0076-draft.docx

ATTACHMENT XX

ASSESSMENT, EXERCISE, AND MODELING & SIMULATION SUPPORT (AEMSS)

HDTRA1-20-R-0076

PAST PERFORMANCE QUESTIONNAIRE

A. Information for the contract to be evaluated:

1. Contractor Name/CAGE: ____________________________________________________

2. Contract Number: ____________________________________________________

3. Contract/Program Title: ________________________________________________

B. Client Evaluation of Contractor’s Performance:

Clients should complete this questionnaire for the contract listed in Section A. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages. Responses will be treated as source selection sensitive information and will not be shared with anyone outside this source selection. Please submit the completed questionnaire to Ms. Karen Ralston via dtra.belvoir.al.mbx.fbo-notices@mail.mil. The following codes should be used when evaluating the contractor’s performance. Circle the appropriate code for questions 1-8 and provide a brief narrative to explain/support the chosen evaluation code.

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 is not applicable to effort assessed.

1. Provide a detailed description of the type of work performed under this contract in the appropriate boxes. (Attach additional sheets as needed).

2. Rate the effectiveness of overall contract management including the ability to effectively lead, manage, and control the program with respect to cost, schedule and performance. Circle a rating code and note any concerns or commendations in any of the areas identified in Question 1.

E V S M U N

3. Rate the Contractor’s management of subcontractors. Circle a rating code and add any additional information, if any.

E V S M U N

4. Rate the effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement. Circle a rating code and note any concerns or commendations in any of the areas identified in Question 1.

E V S M U N

5. Rate the quality of the Contractor’s product or services. Circle a rating code and provide additional comments if any.

E V S M U N

6. Rate the Contractor’s responsiveness/effectiveness in communicating and resolving difficulties of a technical, business, performance, and/or quality nature. Circle a rating code and note any concerns or commendations in any of the areas identified in Question 1.

E V S M U N

7. How was the overall customer service? Circle a rating code and note any concerns or commendations in any of the areas identified in Question 1.

E V S M U N

8. Given the choice, would you award to this contractor again and why?

□ Yes □ No, because

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

Name: Title: Address:

Phone No.: Email: