ATTACHMENT_L-1_PAST_PERFORMANCE_EVALUATION.pdf

ATTACHMENT L-1

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION HHM402-13-R-0023,

TECHNICAL EXPLOITATION SUPPORT SERVICES

To Offeror:

Please provide this Past Performance Questionnaire package to each of your “Reference” government contracting offices according to the instructions in Section L of the

Solicitation.

To Offeror’s Reference:

The Virginia Contracting Activity (VaCA) requests your assistance in providing past performance information on the Contractor (a prospective “Offeror” under our

Solicitation) and corresponding contract listed herein. Please complete this

Questionnaire in accordance with the Instructions set forth immediately below.

VaCA agrees to protect your information as For Official Use Only/Source Selection

Information consistent with FAR 2.101 and 3.104, as noted in the header on each page of this Questionnaire package.

Instructions for Offeror’s Reference:

1. Please complete the attached Past Performance Questionnaire regarding the Offeror based upon your most recent Contractor Performance Assessment Report (CPAR) prepared in accordance with FAR 42.15; provided, you do not actually enter your

CPARs into the Contractor Performance Assessment Report System (CPARS) or the

Past Performance Information Retrieval System (PPIRS).

NOTE: If your office enters its CPARs into CPARS or PPIRS, please so advise the

VaCA contact to that effect rather than completing this Questionnaire. This will enable VaCA to retrieve your latest CPAR for the Offer on-line from CPARS or

PPIRS directly.

2. Please use the attached Rating Instruction (or the equivalent you use in producing your CPARs) in providing the rating assessments that best describe the contractor's performance on your contract.

3. Please send a copy of the completed Questionnaire directly to the VaCA Contact by e-mail (preferred) or facsimile so as to be received timely no later than 10:00 AM

EST on Friday 29 March 2013.

VaCA Contact: Quentin McCoy

Contact E-mail Address: quentin.mccoy@dodiis.mil

Contact Phone Number: 703-275-8600

Contact Fax Number: 703-275-8558

RATING INSTRUCTION

Please provide your assessment of each factor rated in the Questionnaire by using the following rating scale and corresponding definitions (or the equivalent you use in producing your Contractor Performance Assessment Reports (CPARs)), as may be appropriate in each case.

1. Rating Scale (Used for all factors except the “Utilization of Small Business” factor):

Excellent - Performance meets contractual requirements and exceeds many requirements to the Government’s benefit.

Good - Performance meets contractual requirements and exceeds some to the

Government's benefit.

Fair - Performance meets contractual requirements.

Poor - Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet implemented satisfactory corrective actions.

Unsatisfactory - Performance does not meet contractual requirements and recovery is not likely in a timely manner. Contractor’s corrective actions to date are ineffective.

Not Applicable (N/A) - Unable to provide a score. Performance in this area not applicable to effort assessed.

2. Rating Scale: (Used only for the “Utilization of Small Business” factor. Please seek the assistance of your Office of Small Business Programs to make this assessment.)

Excellent – Exceeded all negotiated subcontracting goals or exceeded at least one goal and met all of the other negotiated subcontracting goals.

Good – Met all of the negotiated subcontracting goals in the traditional socio-economic categories (SB, SDB and WOSB) and met at least one of the other socio-economic goals (HUBZone, VOSB, SDVOSB).

Fair – Demonstrated a good faith effort to meet all of the negotiated subcontracting goals.

Poor – Deficient in meeting key subcontracting plan elements. Deficient in complying with FAR 52.219-8 and any other small business participation requirements in the contract.

Unsatisfactory – Noncompliant with FAR 52.219-8 and 52.219-9, DFARS

252.219-7003 (deviation) and any other small business participation requirements in the contract.

Not Applicable (N/A) - Unable to provide a score. Performance in this area not applicable to effort assessed.

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION HHM402-13-R-0008,

LINGUIST OPERATIONS SUPPORT SERVICES

-- TO BE COMPLETED BY THE OFFEROR’S (CONTRACTOR’S)

REFERENCE --

1. Offeror (Contractor)/Division: _________________________________________

Street Address: __________________________________________________

City, State, Zip: __________________________________________________

Province/Country __________________________________________________

CAGE Code: __________________________________________________

DUNS + 4 Number: __________________________________________________

FSC : __________________________________________________

NAICS Code: __________________________________________________

2. Report Type: __________________________________________________

3. Period Assessed: __________________________________________________

4. Contract #: _________________ Order #: _____________________

DoD Business Sector & Sub-sector: ____________________________________

5. Location of Contractor Performance: ____________________________________

6. Reference Contracting Office/Code: ____________________________________

7. Contacting Officer (Name/Phone): ____________________________________

8. Contract Award Date/Effective Date: ____________________________________

9. Contract Completion Date: _________________________________________

10. Contract Awarded Dollar Value: _________________________________________

11. Contract Current Dollar Value: _________________________________________

12. Basis for Contract Award (check all that apply):

Negotiated Competitive Non-Competitive

13. Type of Contract (check the one that applies):

Firm Fixed Price (FFP) Cost Plus Fixed Fee (CPFF)

FFP (Level of Effort) CPFF (Level of Effort)

Time and Material Labor Hour Other: _______________________

14. Key Subcontractors (list as needed):

Subcontractor Name: _______________________________________________

CAGE Code: _______________________________________________

DUNS + 4: _______________________________________________

Effort Performed: _______________________________________________

15. Program Title & Acquisition Phase: _______________________________________

16. Contract Effort Description: _________________________________________

Does this contract include a subcontracting plan? Yes No N/A

Subcontracting under this contract is covered by a

[comprehensive][commercial][N/A] (select one) small business subcontracting plan.

Date of latest Subcontracting Report/Summary Subcontracting Report: ___________

FACTORS RATED:

1. Quality of Product or Service – Assess the contractor's conformance to contract requirements, specifications, quality of software product and development, and standards of good workmanship (e.g., commonly accepted technical, professional standards).

Excellent Good Fair Poor Unsatisfactory N/A

Comments:__________________________________________________________________

2. Timeliness (Schedule Performance) – Assess the contractor's timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance).

Excellent Good Fair Poor Unsatisfactory N/A

Comments:__________________________________________________________________

3. Cost Control – Assess the contractor’s effectiveness in forecasting, managing, and controlling contract cost, including reporting and analyzing variances.

Note: This factor is not rated for firm fixed-price, firm fixed-price with economic price adjustment, or firm fixed-price level-of-effort type contracts.

Excellent Good Fair Poor Unsatisfactory N/A

Comments:__________________________________________________________________

4. Business Relations – Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness, and quality of problem identification, corrective action plans, proposal submittals, the contractor's history of reasonable and cooperative behavior, customer satisfaction, timely award and management of subcontracts.

Include the adequacy of the contractor’s accounting, billing, and estimating systems and the contractor’s management of Property in Possession of Contractor (PIPC) also known as

Government Furnished Property/Equipment (GFP/GFE). Address the timeliness of awards to subcontractors and management of subcontractors, including subcontractor costs.

Excellent Good Fair Poor Unsatisfactory N/A

Comments:__________________________________________________________________

5. Problem Resolution (Management of Key Personnel) – Assess the completeness, timeliness, and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, engineering changes proposals, or other undefinitized contract actions). The contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. The contractor’s history of reasonable and cooperative behavior, and customer satisfaction.

Excellent Good Fair Poor Unsatisfactory N/A

Comments:__________________________________________________________________

OTHER AREAS ASSESSED:

1. Has the contractor been given cure notice(s), show cause notices(s), suspension of progress payments, or letters of direction, etc.?

Yes No N/A

Comments:__________________________________________________________________

2. Do you intend to exercise the option on this contract?

Yes No N/A

3. Recommendation: Given what you know today about the contractor’s ability to execute what they promised in the proposal, would you award to them today if you had a choice?

Yes No

4. Please provide any additional comments concerning the past performance of the contractor.