A23_Attachment_1_PPQ.docx
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- Attached to
- DoD CIO CMSS (formerly Mission Support Services)
- Solicitation number
- HQ0034-18-R-0002
- Issued by
-
DOD Washington Headquarters Service
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Past Performance Questionnaire Cover Letter
1. The Washington Headquarters Services Acquisition Directorate is requesting proposals for a solicitation in support of the Department of Defense Chief Information Officer located at the Pentagon in Washington, DC. The solicitation is for the acquisition of Cybersecurity; Information Technology; Information Enterprise; Command, Control, Communications, and Computers and Information Infrastructure Capabilities; IT Management Analytics; and Data Analytics support services.
We request your assistance by completing and forwarding the attached past performance questionnaire to (WHS AD contracts specialist contact information)
2. In order to ensure the questionnaire is received at our office in time, please forward this questionnaire to arrive no later than (RFP Closing Date). The desired response date is one week prior to the proposal due date.
3. Please bear in mind, upon receipt of the information, you may be contacted by (WHS AD contracts specialist) to confirm or validate the questionnaire.
Name & Title of Offeror Individual Name of Company
02 AUG 2010
02 AUG 2010
PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email to: leanne.m.condren.civ@mail.mil and kellie.e.buck.civ@mail.mil.
Desired Response Date: __ Proposal due date; desired response one week prior to due date
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly. It is the Offeror’s responsibility to ensure all Questionnaires are submitted to WHS/AD by the required due date.
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 OF PERFORMANCE MONITORED BY EVALUATOR:
9. Please circle or highlight the response code for each topic (A – G) that best reflects your experience with this contractor.
| O = Outstanding | A = Adequate | P = Poor |
| E = Excellent | M = Marginal 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 for the project.
| O |
| E |
| A |
| M |
| P |
| N/O |
C. Schedule – Assess the timeliness of contractor against the schedule of activities.
| O |
| E |
| A |
| M |
| P |
| N/O |
D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
| O |
| E |
| A |
| M |
| P |
| N/O |
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
| O |
| E |
| A |
| M |
| P |
| N/O |
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
| O |
| E |
| A |
| M |
| P |
| N/O |
G. Overall Assessment.
| O |
| E |
| A |
| M |
| P |
| N/O |
10. If an Award Fee contract, what was the average Award Fee % earned?
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
11. Provide additional comments with rationale for your ratings in items 9A through 9G, or provide any comments relating to the contractor’s performance against this contract.
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