Attachment 2 - PAST_PERFORMANCE_QUESTIONNAIRE.doc

HE1280-11-R-0001

Attachment 2

PAST PERFORMANCE QUESTIONNAIRE

Sample Cover Letter

[COMPANY LETTERHEAD (Prime or subcontractor)]

Reference Name and Address

Date

SUBJECT: HE1280-11-R-0001– Department of Defense Dependents Schools Europe (DoDDS-E) Mediterranean Schools Maintenance Program (MSMP)

Dear _________________:

We are currently responding to the Department of Defense (DoD) Dependents Schools’ Request for Proposal/Solicitation number HE1280-11-R-0001 (as a subcontractor to______ (If applicable)). The purpose of this contract is to provide Facility Maintenance, Inspection and Repair Services, Grounds Maintenance, Custodial Services and Minor Construction in designated DoD schools throughout the Mediterranean District.

There is an increased emphasis on past performance in the federal source selection process. DoDDS-E is requesting that customers and clients of the offeror provide the information as described within the attached questionnaire and return it to them for evaluation. We have identified you as one of our references and respectfully request that you complete Section 3 and sign the attached questionnaire and return it to DoDDS-E.

Questionnaires are due to DoDDS-E within seven (7) calendar days after receipt; however, we would appreciate an earlier response if at all possible. Questionnaires received later than five (5) days after the date of receipt of proposals shall not be considered.

We sincerely appreciate your cooperation in this matter.

Sincerely, DEPARTMENT OF DEFENSE

DEPENDENTS SCHOOLS

OFFICE OF THE DIRECTOR, EUROPE

UNIT 29649, Box 7000

APO AE 09002-7000

SUBJECT:

Solicitation HE1280-11-R-0001– Mediterranean Schools Maintenance Program (MSMP), Past Performance Questionnaire To Whom It May Concern:

The Department of Defense Dependents Schools Europe (DoDDS-E) very much appreciates your time and thoughtfulness in completing the attached questionnaire. The information obtained from this questionnaire will be utilized to evaluate the past performance of Offerors/Contractors who wish to be awarded a contract with DoDDS-E. Please be advised that neither your name, nor position or organization, will be divulged before, during or after this questionnaire has been completed.

The questionnaire is arranged by general performance areas, e.g., quality of service/performance, cost control, timeliness, management, etc. Each area consists of a few basic questions relating to these aspects of performance with regard to the Offeror/Contractor with which you worked. Please complete the questionnaire as indicated on the form in the English language.

Finally, please sign your name and identify your position during your association with the referenced Offeror/Contractor (Section 3). Once completed, please submit the questionnaire in one of the following manners:

Email PDF (Preferred):

Gina.Romano@eu.doedea.edu and Bernadette.honish@eu.dodea.edu - E-mail is the preferred method.

Fax Original:

+49 (0) 06134-604-699, ATTN: Gina Romano, (Please advise by phone or e-mail if questionnaire will be faxed)

Thank you for taking the time to complete the questionnaire.

Sincerely, Bernadette L. Honish

Contracting Officer

SECTION 1: CONTRACTOR INFORMATION (To be filled out by the Contractor):

A. Contractor’s name and address:

B. Point of Contact:

C. Phone Number:

D. Contract Number:

E. Project Title or Description of Work performed under this project:

F. Contract and Order Type, if applicable:

FORMCHECKBOX

Requirements FORMCHECKBOX Indefinite Delivery/Indefinite Quantity

FORMCHECKBOX

Cost Reimbursement FORMCHECKBOX Time and Materials/Labor Hours

FORMCHECKBOX

Firm Fixed Price FORMCHECKBOX Other: _________________

G. Project Award Date:

Schedule Completion Date:

Current/Final Completion Date:

H. Project Award Amount:

Current/Final Project Amount:

I. Contractor being evaluated performed as the FORMCHECKBOX Prime Contractor FORMCHECKBOX Subcontractor FORMCHECKBOX Supplier

J. Authorization is hereby granted to provide the information requested in this Questionnaire.

(Signature)

(Name and Title of Authorized Official)

(Date)

SECTION 2: PERFORMANCE INFORMATION (To be filled out by Respondent): Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. Please provide a narrative explanation for any ratings of 1 or 2.

supporting, and replacing key personnel.

For the following please answer Y (Yes) or N (No):

CUSTOMER SATISFACTION

QUALITY

Contractor’s poor performance? If yes, please explain in Remarks section

CHANGE/COST CONTROL

REMARKS:

H. OVERALL RATING

Please rate the overall service provided by the Contractor in accordance with the definitions found on page 1 of the questionnaire.

Excellent ____ Good _____ Acceptable ______ Marginal _____ Unsatisfactory ____

I. NARRATIVE

Please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk.

SECTION 3: RATER INFORMATION (To be filled out by Respondent):

Name _______________________________________________________

Position/Title _________________________________________________

Organization _________________________________________________

Address _____________________________________________________

Telephone Number ____________________________________________

E-mail Address _______________________________________________

Signature ______________________________Date ________________

We greatly appreciate your time in assisting us with a very important part of the source selection process. This information is considered Source Selection Sensitive.

Please return this completed questionnaire by email to: gina.romano@eu.dodea.edu and Bernadette.honish@eu.dodea.edu