A23 - Att 4 - Past Performance Questionnaire.docx
DOCX document 16 KB Posted
- Attached to
- JASON Recompete - FINAL Solicitation Federal contract opportunity
- Solicitation number
- HQ0034-21-R-0037
- Issued by
- DOD Washington Headquarters Service
About this file
This document contains a past performance questionnaire template to be completed by offerors and evaluating organizations for a source selection. The questionnaire requests information on previous contracts or subcontracts including the contractor name and address, contract number, initiation and completion dates, contract value and type, project description and location, and performance ratings in quality, schedule, requirements, resource management, customer satisfaction, and overall performance. Evaluators are asked to provide their name, position, organization, and months of performance monitored. Average award fee percentages earned on previous award fee contracts are also requested.
The related federal contract opportunity is a draft solicitation for the JASON Recompete seeking proposals from not-for-profits, non-profits, and FFRDCs. Offerors may submit early questions but final responses will come with the final solicitation. The solicitation number, name, type, description, and issuing DOD agency are provided.
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Text version
Past Performance Questionnaire
PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email to:
Acquisition Directorate Attn: Douglas J. Boorstein (douglas.j.boorstein.civ@mail.mil) and Monique S. Waddell (monique.s.waddell.civ@mail.mil) Desired Response Date:
11:00 a.m., 19 January 2021
When complete, the information on this form is SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
| 1. A. CONTRACTOR NAME & ADDRESS: |
| 2. CONTRACT/SUBCONTRACT NO.: |
3. CONTRACT/SUBCONTRACT INITIATION DATE:
4. COMPLETION DATE:
1.B. NAME OF PRIME OFFEROR, if this questionnaire is for a team member:
5. CONTRACT/SUBCONTRACT VALUE (with options):
6. TYPE OF CONTRACT (Fixed Price, GMP, FPI, etc.):
7. PROJECT TITLE, LOCATION, AND DESCRIPTION (INCLUDING TOTAL CONSTRUCTION VALUE):
Please add a continuation page if additional space is 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:
9. Please circle the response code for each topic (A – F) that best reflects your experience with this contractor.
O = Outstanding E = Excellent A = Acceptable M = Marginal U = Unacceptable N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship.
O E A M U N/O
B. Schedule – Assess the timeliness of contractor against the schedule of activities.
O E A M U N/O
C. Performance Requirements – Assess the contractor’s ability to fulfill the performance requirements of the contract.
O E A M U N/O
D. Resource Management – Assess the contractor’s ability to provide and maintain personnel and other resources for the contract.
O E A M U N/O
E. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
O E A M U N/O
F. Overall Performance Assessment
O E A M U N/O
10. If this was an award fee contract, what was the average award fee % earned?
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