L-2 Past Performance Questionnaire.pdf

02 AUG 2010

Past Performance Questionnaire

Cover Letter

1. The Washington Headquarters Services Acquisition Directorate is requesting proposals for a solicitation in support of the Office of the Secretary of Defense located at the Pentagon in Washington, DC. The solicitation is for the acquisition of a full range of Information Technology solutions and services. We require all offerors to provide past performance information.

Moreover, we request your assistance by completing and forwarding the attached past performance questionnaire to A&PO via email to patricia.watson@whs.mil or by facsimile at (703) 696-3269.

To submit via email, subject line should read: Past Performance Questionnaire, Solicitation HQ0034-10- R-0046.

To submit via facsimile: Cover sheet should read: Attn: Patricia Watson, Past Performance Questionnaire, Solicitation HQ0034-10-R-0046.

To send via ground or courier:

WHS/Acquisition Directorate Attn: Patricia Watson, HQ0034-10-R-0046 1777 North Kent Street, Suite 12063 Arlington, VA 22209 (Phone) 703-696-3866

2. In order to ensure the questionnaire is received at our office in time, please forward this questionnaire to arrive no later than 23 August 2010.

3. Please bear in mind, upon receipt of the information, you may be contacted by Patricia Watson to confirm or validate the questionnaire.

Name & Title of Individual Name of Company

NIEITS HQ0034-10-R-0046

PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire and email or send by facsimile to: (703) 696-3269

WHS/AD

Attn: patricia.watson@whs.mil

Desired Response Date: 23 Aug 2010

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

6. TYPE OF CONTRACT:

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.

O = Outstanding E = Excellent

A = Adequate M = Marginal

P = Poor N/O = Not Observed

A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

O E A M P N/O

B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

C. Schedule – Assess the timeliness of contractor against the schedule of activities.

D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.

G. Overall Assessment.

If an Award Fee contract, what was the average Award Fee % earned?