Attachment_J-3_Past_Performance_Questionnaire.doc

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WHS Administrative and Clerical IDIQ
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HQ0034-17-R-0273
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Attachment J-3 Past Performance Questionnaire

Past Performance Questionnaire

RFP - HQ0034-17-R-0273

The company who has provided you with this form is proposing to submit a quotation to the Washington Headquarters Services/Acquisition Directorate (WHS/AD) for Administrative and Clerical Services. Past Performance is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important.

The questionnaire should be filled out and emailed to Earl Anderson at earl.e.anderson51.civ@mail.mil and Khalil Mack at khalil.r.mack.civ@mail.mil by October 6, 2017. If you have any questions, please contact Earl Anderson at the above email address.

This Section is to be Filled Out by the Offeror

Company Name & Address:

2. Contract Number:
3. Period of Performance (Including All Options):

4. Contract Value:

5. Contract Role:
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6. Performance Survey

No.
Performance Questions

E = Exceptional VG = Very Good S = Satisfactory M = Marginal

U = Unacceptable N/A = Not Applicable

Ratings (Mark an “X” in the appropriate Selection)
U
M
S
VG
E
N/A
1.
If applicable, how did the contractor perform during a transition of task from another firm?
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2.
General quality of services and support provided during their period of performance?
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3.
Content, accuracy, and timeliness of technical reports and deliverables?
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4.
Contractor’s ownership of problems and actively working to resolve them?
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5.
Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner?
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6.
Ability to handle fluctuating

workloads?

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7.
Communicating schedules, delays, and expectations and interfacing with Government employees?
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8.
Overall Responsiveness to Government requests?
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9.
If contract was performance based, how successful was the Contractor in meeting the contract metrics?
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10.
Overall Contract Performance Rating based on performance and mission impact?
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Additional Rater Comments About Contract Performance

Definitions:

i. Exceptional: Performance meets contractual requirements and exceeds many to the Customer's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

ii. Very Good: Performance meets contractual requirements and exceeds some to the customer's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

iii. Satisfactory: Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

iv. Marginal: Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified or taken satisfactory corrective action.

v. Unsatisfactory: Performance does not meet most contractual requirements and recovery did not occur or is not likely to occur in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions were ineffective.

vi. Not applicable: Does not apply to the acquisition.

This questionnaire is to be returned along with a copy of the “Relevant Experience Project Template”

9. Rater Information

Name:
Title:
Agency/Company:
Phone:
Email:

Signature (Digital or Wet)

Source Selection Information - See FAR 2.101 and 3.104 Source Selection Information - See FAR 2.101 and 3.104 20 September 2017

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