OPS Past Performance Quessionaire.pdf

HQ0013-12-R-0001

Exhibit A

PAGE: 1

PAST PERFORMANCE QUESTIONNAIRE

Offerors may use this form to obtain past performance information from their clients and customers, in addition to providing list of references. Clients/customers should submit completed form directly to the Contracting Officer at email: toni.davis@dsca.mil or fax: 703 601-1671, NLT the due date and time for offers submitted in response to the RFQ.

CONTRACTOR:

CONTRACT NUMBER:

CONTRACT/PURCHASE ORDER/DELIVERY/TASK ORDER #:

CONTRACT TYPE:

ORIGINAL CONTRACT VALUE:

CURRENT CONTRACT VALUE:

DESCRIPTION OF EFFORT:

PERIOD OF PERFORMANCE:

PLACE OF PERFORMANCE:

Please complete the questionnaire as a coordinated effort for the Contracting Officer. Narrative comments supporting the rating are highly desirable to accurately assess the performance of the contractor. Choose the number on the scale of 1 to 5 that most accurately describes the Contractor's performance on the contract listed above. The following definitions apply:

1). Excellent Performance - Objectives/requirements essentially always achieved or exceeded, with inconsequential exceptions.

2). Good Performance - Objectives/requirements achieved with only rare exceptions, and the exceptions had minor consequences.

3). Adequate Performance - Objectives/requirements generally achieved with occasional exceptions and, in almost all cases, exceptions had minor consequences.

4). Marginal Performance - Objectives/requirements were frequently not fully achieved, often with significant consequences.

5). Poor Performance - Objectives/requirements were not achieved, with significant consequences.

Technical/Quality

1. Did the contractor meet the technical or mission objectives set out in the contract or task order?

1 2 3 4 5 N/A

COMMENTS:

2. Where the objectives proved more difficult than originally predicted, how did the contractor respond to these technical challenges?

Workforce Qualifications and Stability

3. Evaluate the Contractors work force in terms of overall qualifications to perform the work required.

4. Evaluate the Contractors performance in terms of the stability of its workforce and continuity of performance of the Contract/Task Order.

COMMENTS

Subcontractor Management

5. For work with substantial subcontractor involvement, evaluate the overall effectiveness of the Contractors subcontractor management.

Conformance to Schedule

6. Did the contractor meet the schedule requirements set out in the contract or task order?

7. When schedule requirements proved more difficult than originally predicted, how did the contractor respond to these schedule challenges?

Cost Estimating

8. Did the contractor estimates accurately reflect what the work actually cost?

9. If the actual project costs exceeded the contractor’s original estimate, evaluate the quality of the contractor’s corrective action.

Business Relations/Customer Satisfaction

10. Was the contractor responsive to customer requests?

11. Evaluate the contractor’s commitment to total customer satisfaction.

12. How responsive and reasonable was the Contractor with regard to negotiating changes and modifications?

13. Have there been any terminations of tasks due to inability to meet technical requirements, delivery schedules, or cost predictions? If so, how many?

YES NO

14. Would you award similar contracts to the Contractor in the future?

YES NO

15. What role did you play (e.g., COR, Contract Specialist, ACO)?

How long?

NAME (Printed)/Phone:

SIGNATURE: ______________________________

DATE: _______________