L-6_Past_Performance_Questionnaire.docx

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PAST PERFORMANCE QUESTIONNAIRE

OFFEROR INSTRUCTIONS

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(U) The Offeror shall complete PART 1 of this questionnaire and submit the entire questionnaire to the respective Government/Commercial Points of Contact (POCs) pertaining to referenced contracts for completion of PART 2.

U) Upon receipt of the questionnaire, it is incumbent upon the offeror to contact and request the Government/Commercial POCs to promptly complete their assessment of the offeror’s contractual past performance, forward the assessment to the below cited e-mail or mailing address by the below specified date and time, and agree to participate in a subsequent telephonic interview with the CO or CO’s designee.

(U) It is the responsibility of the offeror to ensure that:

· (U) The information regarding their Government POCs is current, complete and accurate.

· (U) The past performance is recent and relevant.

· (U) The respective POCs receive this questionnaire promptly so as to provide the POCs with sufficient time to complete their respective assessments and return completed Part 2 of the questionnaire by TBD via e-mail to Jimmy Ober at jimmy.c.ober@nga.mil

(U) All narrative sections are Unclassified until filled in (at which time this document becomes Unclassified//FOUO).

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PAST PERFORMANCE QUESTIONNAIRE – DIRECT INPUT ASSESSMENT_V1.0

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(U) PAST PERFORMANCE QUESTIONNAIRE

(U) PART 1—To be completed by OFFEROR

2. ADDRESS

4. CONTRACT VALUE

21. SUMMARY DESCRIPTION OF THE REFERENCED CONTRACT AND ITS RELEVANCE TO STRATA:

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TEMPLATE IS UNCLASSIFIED UNTIL MODIFIED FOR COMPLETION, AT WHICH TIME THIS DOCUMENT BECOMES “UNCLASSIFIED//FOUO SOURCE SELECTION INFORMATION—SEE FAR 2.101 and 3.104”

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(U) PAST PERFORMANCE QUESTIONNAIRE

(U) PART 2—DIRECT INPUT ASSESSMENT

—to be completed by the Assessment Organization—

(U) [INSERT Offeror’s Name] has submitted your organization as a Government Point of Contact (POC) for the purpose of rendering information and your assessment of the contractor’s performance on the contract cited below.

(U) This is a two-step questionnaire process. The first step is the following Direct Input Assessment of the contractor’s performance. Once completed, please return this completed form, PART 1 and PART 2, to the Government CO by e-mail at jimmy.c.ober@nga.mil by TBD.

(U) Concurrently, please notify [INSERT Offeror’s Name] of your submission directly to the government.

(U) Upon receipt of your submission to the Government CO, you may be requested to participate in a brief follow-up telephonic interview as the second step in this questionnaire process. The purpose of this step is to obtain a more detailed understanding of the contractor’s performance and the assessments made.

(U) 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. Your responses to the below questions will assist the Government in assessing the Performance Confidence Level for the subject offeror in response to this solicitation.

11. OBSERVED PERIOD OF PERFORMANCE (DD MMM YYYY):

FROM:

☐ SUBCONTRACTOR

TO:

☐ OTHER (SPECIFY) _____________________

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(U) NOTE: The assessment information obtained through this questionnaire process constitutes SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

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(U) Please use the below rating system in your assessment of the contractor’s performance for each of the questions. Please provide an assessment rationale to describe the ratings for each topical area. For each of the performance ratings indicated, use the following guidelines to rate each question and mark the appropriate box:

· To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

· To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

· To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified.

· To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

· To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

Technical Performance Assessment

ASSESSMENT RATIONALE:

Management Performance Assessment

documentation, and reports

ASSESSMENT RATIONALE:

Small Business Participation Performance Assessment

ASSESSMENT RATIONALE:

(U) This concludes your direct input assessment. Thank you for taking the time to provide this information.

TEMPLATE IS UNCLASSIFIED UNTIL MODIFIED FOR COMPLETION, AT WHICH TIME THIS DOCUMENT BECOMES “UNCLASSIFIED//FOUO SOURCE SELECTION INFORMATION—SEE FAR 2.101 and 3.104”