ATTACHMENT J-L1 AND J-L2 only.doc

ATTACHMENT J-L1

Dated: 13 June 2012

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE

See FAR 2.101 and 3.104

TO:

FACSIMILE:

PHONE:

EMAIL:_________________________

Information Request

Washington Headquarters Services is currently in the process of soliciting offers for a contract for the provision of Mitigation & Restoration Services. [CONTRACTOR NAME] provided your name and organization as a reference regarding [CONTRACT DESCRIPTION past performance under

(CONTRACT NO.]. Specifically, we are looking for past performance information in the following areas:

a.) Quality of Service b.) Timeliness or Scheduling of Service c.) Business Relations/Customer Satisfaction d.) Key Personnel and Staffing (Including Subcontractors)

In order for our team to compile its evaluation, we request that you complete the attached survey form and email it, and any other pertinent information by 23 July 2012 at or before 12pm Eastern Standard Time (EST) to Samia Brandford samia.brandford@whs.mil and Kadian Ferguson kadian.ferguson@whs.mil

Washington Headquarters Services, Acquisition Directorate Attn: Samia Brandford/Kadian Ferguson Polk Building

2521 South Clark Street

Suite 3000

Arlington, VA 22202

Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), or Unsatisfactory (U). See next page for definition of ratings.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _____________________________________________________________

B. Cage Code: _______________________________________

C. Contract number: ___________________________________________________________________________

D. Contract type (e.g. Fixed price, Cost reimbursement): ______________________________________________

E. Was the referenced contractor the prime contractor on this contract? Yes____ No____

F. Type of Contract: Mitigation_____ Restoration _____

G. Was this a competitive contract? Yes _____ No _____

H. Period of performance: _______________________________________________________________________

I. Place of performance: _______________________________________________________________________

J. Initial Contract price: $_______________________________________________________________________

K. Current/final contract price: $__________________________________________________________________

L. Current status of contract (choose one)

[ ] Ongoing

[ ] Complete

[ ] Terminated for Convenience

[ ] Terminated for Default

[ ] Other (explain)

M. Reason(s) for differences between initial contract price and final contract price: __________________________

N. Description of service provided: ________________________________________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _________________________________________________________________________________________

B. Customer or agency description (if applicable): _________________________________________________________________________________________

SECTION 3: REVIEWER IDENTIFICATION

A. Reviewer's name: _________________________________________________________________________________________

B. Reviewer's title: _________________________________________________________________________________________

C. Reviewer's phone/email address: _________________________________________________________________________________________

Number of months the reviewer worked on subject contract: _____________________

SECTION 4: EVALUATION

Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), Neutral (N) or Unsatisfactory (U). See next page for definition of ratings.

1. Please provide an overall rating of the contractor’s past performance for the referenced contract/delivery order.

2. Please describe the quality of the work:

a.

Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence.

b.

Business Relations/Customer Satisfaction

3. Provide a detailed description of the Emergency Mitigation/Restoration project conducted.

4. Please describe the quality of the process used to ensure safety

5. Did the contractor complete the project within schedule? Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling? If the answer is no, please explain the circumstances for delay.

6. Please describe the contractor’s ability to estimate project costs using R.S. Means, time and material/labor-hours and/or firm-fixed prices. Please note which was used.

7. If there were change orders (work that is added to or deleted from the original scope of work of a contract), please describe the contractor’s ability to successfully perform the contract requirements with the change in scope.

8. Please describe the Timeliness or Scheduling of Service/Deliveries, Emergencies, and/or Unforeseen Requests?

9. Please rate the level of effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business. Describe any problems.

10. Please describe the quality of key personnel and how well key personnel managed their portion of the contract.

11. Would you hire this contractor to provide services for your organization in the future? Please provide comments using additional pages, if desired.

12a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9?

Yes ____, No_____.

12b. If “Yes” to 13a, have you regularly submitted to the Electronic Subcontracting Reporting System (eSRS) on time?

Yes_____. No_____.

12c. Did the contractor comply with the Small Business Subcontracting Plan?

12d. Please attach a copy of your most recently submitted eSRS report.

Reviewer’s Signature

Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address: ATTN:

SAMIA BRANDFORD/KADIAN FERGUSON

WHS/AD

2521 S CLARK STREET, SUITE 3000

Arlington, VA 22202

Or Email a scanned copy to: Samia.Brandford@whs.mil AND Kadian.Ferguson@whs.mil

ATTACHMENT J-L1

PAST PERFORMANCE DEFINITIONS

The following definitions are to be used when assessing past performance:

EXCEPTIONAL/VERY LOW PERFORMANCE RISK (E)

No doubt exists that the offeror will successfully perform the required effort.

VERY GOOD/LOW PERFORMANCE RISK (VG)

Little doubt exists that the offeror will successfully perform the required effort.

SATISFACTORY/MODERATE PERFORMANCE RISK (S)

Some doubt exists that the offeror will successfully perform the required effort.

MARGINAL/HIGH PERFORMANCE RISK (M)

Substantial doubt exists that the offeror will successfully perform the required effort.

UNSATISFACTORY/VERY HIGH PERFORMANCE RISK (U)

Extreme doubt exists that the offeror will successfully perform the required effort.

NEUTRAL (N)

The offeror, its subcontractors or team members and/or its key personnel have no significant performance record relevant or identifiable to the services to be performed.

Attachment J-L2

Dated: 13 June 2012 Please complete by providing information for three (3) Government or commercial contracts for services directly related or similar to the services required in Section 1.4. Information for contracts or subcontracts shall be for relevant contracts and subcontracts currently in process or completed within the past five (5) years. Specifically address the following items:

PAST PERFORMANCE DATA SHEET

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work was begun

6. Date work was completed

7. Contract type, initial contract price

8. Reference/Technical point of contact (name, title, address, telephone no. and email address)

11. Current status of contract (choose one):

[ ] Ongoing

[ ] Complete

[ ] Terminated for Convenience

[ ] Terminated for Default

[ ] Other (explain)

12. Provide a detailed description of the Emergency Mitigation and Restoration project conducted. Describe the contract and the relevancy to the requirements of this solicitation. Relevance shall address the following areas: Emergency Mitigation; Restoration and Specialized Restoration. Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below. Please also include the following information:

(a) The tasks performed, including the deliverables, as they relate to Section 1.4 of the PWS

(b) Timeliness of deliveries

(c) The extent of involvement (as a prime versus a subcontractor)

(d) The utilization of subcontractor technical support versus in-house technical support

(e) Remote site management experience

13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ____, No_____.

13b If “Yes” to 13a, have you regularly submitted to the Electronic Subcontracting Reporting System (eSRS) on time? Yes_____. No_____.

13c. Did the contractor comply with the Small Business Subcontracting Plan? Yes_____. No_____.

13d. Please attach a copy of your most recently submitted eSRS report.

14. Provide a summary description of contract work, not to exceed two pages in length. Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the explanation to this form.