Past Performance Questionnaire OMSAS IV fillable.pdf

PAST PERFORMANCE QUESTIONNAIRE

FOR

OFFENSIVE MISSILE SYSTEM ANALYSIS AND SUPPORT IV

Please complete the questionnaire and email, fax or mail to the addressee as follows:

Noryem Maldonado Email: Noryem.maldonado@dodiis.mil Fax: (256) 313-7979 Phone Number: (256) 313-7391

Address: Defense Intelligence Agency/ Missile and Space Intelligence Center Virginia Contracting Activity Attn:CFO4B5/MSIC/Noryem Maldonado Building 4545, Fowler Rd Redstone Arsenal, AL 35898-5500

SUBMITTED BY:

(Agency)

COMPANY BEING RATED:

Name:

Address:

POC:

INSTRUCTIONS:

Type of contract (Check all that apply)

[ ] Negotiated [ ] Sealed Bidding [ ] [ ] Non-Competitive [ ] Firm-Fixed-Price [ ] Cost-Plus-Fixed-Fee [ ] Time-and-Material [ ] Labor Hour [ ] Other _____ _

Complete the following:

Competitive [ ] Requirements [ ] Indefinite Quantity

Period of Performance: ___ / __ / ____ to--~/ ____ / Initial Contract Value: $ _______ _ Current (or Completed) Contract Value: $ ________ _

Brief Description of Requirement:

Complexity of Effort: [ ] Difficult [ ] Routine

Source Selection Information - See FAR 2.101 and 3 .104

For each item, annotate (bold, circle, or check) the rating that best describes the contractor's work on the contract, or if you do not know how the contractor performed ( or is performing on a particular item), please annotate (Not Applicable (N/ A) on that item. The rating scale is defined below.

0 Not Applicable (N/ A): Does not apply or you do not know.

1 Unsatisfactory Achievement of contract requirement is compromised

2 Poor Requires major agency resources to ensure achievement of contract requirements

3 Fair Requires minor agency resources to ensure achievement of contract requirements.

4 Good Does not impact achievement of contract requirements

5 Excellent No problems, issues, or delays in achieving contract requirements

6 Outstanding Cases where contractor performance exceeds Excellent

*Note: Sufficient detail shall be provided in the Comment block for ratings other than Good ( 4) or NI A (0) supporting the selected rating.

CONTRACT INFORMATION

1. QUALITY OF SERVICE:

a Overall abili Ratin 0 5 Comment:

(b) Effectiveness reliabilitv of contractor's kev oersonnel.

Rating 0 I 1 I 2 I 3 I 4 I 5 I Comment:

( c) Abilitv to recruit and maintain qualified oersonnel.

Rating 0 I 1 I 2 I 3 I 4 I 5 I Comment:

to satisfy security re uirements ( clearances for ersonnel, information rotection, facilities, etc. .

0 1 2 3 4 5 6

Comment:

e Abili to effectivel im lement "start-u erformance.

Ratin O 1 3 4 5 6 Comment:

Source Selection Information- See FAR 2.101 and 3.104

2. TIMELINESS OF PERFORMANCE

(a) Overall performance in planning, scheduling, and monitoring the work effort.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

(b) Completion of maior milestones on schedule:

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

c Res onsiveness and flexibili Ratin O 1 2 3 4 5 6 Comment:

Ratin 0 5 6 Comment:

(e) Timely completion of Efforts within period of performance.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

3. PRICE/COST CONTROL:

a) Qualit , com leteness, and accurac of rice/cost ro osals.

Ra tin O 1 2 3 4 5 6 Comment:

(b) Accuracy and timeliness of cost reports.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

(c) Abili to Ratin 3 4 5 6 Comment:

(d) Accuracy and completeness of vouchers/invoices.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

( e) Incurrence of costs is in accordance with contract terms.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

4. BUSINESS RELATIONS:

(a) Abilitv to effectively manage contract.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

to choose subcontracts if a licable to this contract bein re orted on .

0 1 2 3 4 5 6

Comment:

if a licable to this contract bein re orted on).

2 3 4 5 6

Comment:

(d) Provides prompt notification of problems.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

( e) Or anizational su rovides ade uate s an of control and su ervision.

Ratin 0 2 3 4 5 6 Comment:

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

Ratin Yes No Comment:

Source Selection Information- See FAR 2.101 and 3.104

5. MANAGEMENT of KEY PERSONNEL:

oint of contact to mana e and resolve roblems.

2 3 4 5 6

Comment:

b Effectively assesses im acts of otential chan es on other associated ro·ects, tasks, and efforts.

Ra tin O 1 2 3 4 5 6 Comment:

(c) Effectiveness in interfacing with Government personnel.

Rating 0 I I I 2 I 3 I 4 I 5 I 6 Comment:

d) Abili to solve contract roblems without extensive idance from Government ersonnel.

Ratin 0 2 3 4 5 6 Comment:

Government re uirements and is res onsive to the Government's needs.

2 3 4 5 6

Comment:

(f) Rate the contractor's overall technical performance on this contract.

Rating 0 I 1 I 2 I 3 I 4 I 5 I 6 Comment:

6. Based on this contractor's overall performance, would you award this contractor another Government contract?

YES

I

NO

I Ifno, please explain:

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

Comment:

8. This questionnaire was completed by:

(Print Name)

(Organization)

(Commercial/DSN Telephone Numbers)

(Date of Completion)