ATTACHMENT 5 - Past Performance Ques.doc

UNCLASSIFIED

ATTACHMENT 5

Past Performance Questionnaire

Offerors must complete this past performance questionnaire and return to:

TICOM

Attn: Ms. Cassandra Michael, Contracting Officer

Solicitation No. HM0177-10-R-0047

14520 Avion Parkway, Suite 100

Chantilly, Virginia 20151

Phone: (703) 227-1300

Fax: (703) 227-1360

Offeror must provide past performance information and award fee scores for which they have relevant performance history within the past three years.

When all evaluation information is completed, this form constitutes SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

Past Performance Questionnaire

Information to be completed by OFFEROR

Address:

Contract Value:

Summary Description of Contract: (Also include the percentage of personnel turnover rate for cleared personnel at the end of the summary description)

Did/does this contract involve any classified work?

No ( ) Yes ( ) Department of Defense Collateral: ( ) Sensitive Compartmented Information: ( ) Other (i.e., Special Access Program SAP): ( ) Secret: ( ) Top Secret: ( )

Signature:

Date:

Information to be completed by EVALUATING ORGANIZATION

From:

To:

Based on your knowledge of the contract identified above, please provide your assessment of how well the contractor performed on each of the following topics. Only contracts having a performance period ending not earlier than three years from Request for Proposal release date are relevant. Your answers to these questions will help the government evaluate how well the contractor performed under your contract(s). Please check the appropriate rating and, since we must provide the contractor an opportunity to respond, if you indicate that the contractor had significant weaknesses, please provide thorough and concise comments on all responses other than those rated satisfactory or N/A.

For each of the performance ratings indicated, use the following guidelines to rate each question and mark the appropriate box:

PAST PERFORMANCE

Marginal

MANAGEMENT PERFORMANCE

PERSONNEL

1. Ability to deliver those “Key” personnel as set forth in their proposal and the “Key” personnel “Actually Assigned (Delivered)” at Contract Award/(. ( i.e., proposed vs. delivered).

2. Ability to deliver/staff the contract with “All Other” qualified personnel as required by the contract and/or necessary for a smooth contract “start-up” and not jeopardize performance?

3. Ability to retain and/or replace “Key” personnel assigned to the contract with equally or better “Qualified” Personnel?

4. Ability to retain and/or replace “All Other” required personnel assigned to the contract with equally or better “Qualified” personnel?

PROGRAM MANAGEMENT

1. Creates teaming/partnering relationships with government, subcontractors and other stakeholders to achieve project goals.

2. Selects, coordinates, integrates, and provides effective subcontractor management.

3. Communicates proactively and openly with government, subcontractors and other stakeholders.

4. Ability to work with other contractors and understand their role within the organization?

5. Ability to respond to government direction and changing direction or requirements?

6. Ability to balance contract cost, schedule, and performance issues and ability to identify and implement cost saving measures?

7. Achieves cost reductions and/or performance improvements through performance based contracting.

8. Completes major milestones on schedule.

9. Effectiveness of transition plan during startup of contract.

10. Security Violation tracking/reporting is timely, accurate, and of appropriate content.

TECHNICAL – TECHNICAL APPROACH

1. Effectively identifies, prioritizes and applies resources to achieve Performance Work Statement (PWS) requirements.

2. Possesses appropriate domain experience.

3. Quality of deliverables and services.

4. Displays initiative in fulfilling PWS requirements and is responsive to the government's needs.

5. Technical expertise of the “Key” Personnel assigned to the contract?

6. Technical expertise of “All Other” Personnel assigned to the contract?

TECHNICAL – QUALITY ASSURANCE

1. Effectively implements, maintains and adjust performance metrics to deliver increasingly value over time.

2. Effectiveness of contractor’s Quality Assurance Plan.

TECHNICAL PERFORMANCE

COST CONTROL

COST CONTROL

1. Quality, completeness, timeliness and accuracy of price/cost proposals.

2. Ability to manage and control costs within the negotiated contract value and identify cost saving measures.

3. Accuracy and timeliness of cost reports.

COMMENTS:

A.

Comments on “E” (Excellent) and “V” (Very Good) ratings, explaining strengths:

B.

Comments on “M” (Marginal) and “U” (Unsatisfactory) ratings, explaining weaknesses:

C.

Other comments:

D. Has any unsatisfactory performance identified above been shared with the contractor?

( ) Yes: written or oral? ( ) No ( ) N/A

E. Would you use this contractor again?

( ) Yes ( ) No (if no, please explain below

UNCLASSIFIED