Atch 7 - PastPerformanceQuestionnaire
28 KB Posted
- Attached to
- Missile Defense Data Center (MDDC) Program Federal contract opportunity
- Solicitation number
- HQ0147-10-R-0030
- Issued by
- DOD Missile Defense Agency
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Atch 7 - Past Performance Questionnaire
Text of this file
SUBJECT: Past Performance Evaluation Form for ____________________; Request for Proposal (RFP) Number HQ0147-10-R-0030, Missile Defense Data Center (MDDC) Program Contract
Dear Sir or Madam:
You are requested to answer the attached Past Performance Questionnaire in response to a solicitation issued by the Missile Defense Agency. It is stressed that this questionnaire be filled out by the addressee and not the Offeror, and that the information then forwarded to the Government individual identified below. The addressee is requested to sign the questionnaire as a validation of the assessment. DO NOT RETURN YOUR RESPONSE TO THE CONTRACTOR THAT FORWARDED THIS QUESTIONNAIRE TO YOU.
This letter, as well as the attached questionnaire, has been forwarded to you by _____________ (insert name of firm). This firm intends to submit a proposal as either a prime contractor or a subcontractor in response to the Missile Defense Data Center (MDDC) Program solicitation. This company has been instructed to forward this correspondence to you no later than fifteen days prior to the proposal due date of _________ (insert date). Please complete the questionnaire and email a .pdf copy to the following email address NLT the proposal due date:
belinda.williams@mda.mil
A member of our performance risk assessment group may be in contact with you regarding your response should it become necessary. In the event that your response contains derogatory or superlatively positive responses/comments regarding the contractor’s performance, you are requested to discuss your response and submit available documentation supporting these assessments. Your submittal of such documentation will hopefully eliminate post-response inquiries.
If you have any questions about this form or the overall past performance process, please contact Belinda Williams at belinda.williams@mda.mil or 256-450-4041. Your cooperation in this matter is greatly appreciated.
Sincerely,
| BELINDA J. WILLIAMS |
| Contracting Officer |
Encl
| ________________________________ | _________________________ | |
| Signature of Offeror | Title |
| ________________________________ | _________________________ | |
| Typed or Printed Name | Date |
PAST PERFORMANCE QUESTIONNAIRE
TO REFERENCE: (Enter name of reference entity the questionnaire is being sent to)
REFERENCE’S PHONE NUMBER:
REFERENCE’S EMAIL:
FROM REQUESTING FIRM:
(Name of Firm and contact information of the person requesting the accomplishment of the questionnaire.)
Your assistance is requested in support of a source selection. The Missile Defense Agency (MDA) is in the process of soliciting offers from companies capable of executing the Missile Defense Data Center (MDDC) Program. [Our firm] has provided your name and organization as a reference regarding our record of past performance under Contract No. [CONTRACT NO.].
Please complete this Questionnaire and forward a PDF copy to Belinda Williams (Contracting Officer), at belinda.williams@mda.mil.
[Our firm] is competing for Solicitation #HQ0147-10-R-0030 as a:
Prime Contractor
| Subcontract to (please identify the Prime Contractor under which you will |
| compete for the contract awards): |
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
SECTION I - TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS:
2. CONTRACT NO.:
3. CAGE CODE:
4. PERIOD OF PERFORMANCE:
5. COMPETITIVELY AWARDED (circle, underline or highlight one) YES or NO
6. INITIAL CONTRACT VALUE (with options): $
7. CURRENT CONTRACT VALUE (with options): $
8. TYPE OF CONTRACT:
9. REASONS FOR DIFFERENCE (IF ANY) BETWEEN INITIAL CONTRACT VALUE AND CURRENT CONTRACT VALUE:
10. DESCRIPTION OF CONTRACT REQUIREMENTS.
Please add a continuation page if additional space necessary.
PAST PERFORMANCE QUESTIONNAIRE (continued)
SECTION II - TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
| 11. CUSTOMER OR AGENCY NAME (AND DESCRIPTION): |
| 12. EVALUATOR’S NAME: |
13. EVALUATOR’S TITLE:
14. EVALUATOR’S PHONE NUMBER:
15. EVALUATOR’S EMAIL ADDRESS:
16. NUMBER OF YRS OR MONTHS EVALUATOR HAS MONITORED CONTRACTOR’S PERFORMANCE:
Please Circle, Underline or Highlight the response code which best reflects your experience with this contractor.
Superior (SU) - Based on an offeror’s past performance record, essentially no doubt exists that the offeror will successfully perform the required effort.
Satisfactory (SA) - Based on an offeror’s past performance record, some doubt exists that the offeror will successfully perform the required effort.
Unsatisfactory (U) - Based on an offeror’s past performance record, extreme doubt exists that the offeror will successfully perform the required effort.
Neutral (N) - No relevant performance record is identifiable upon which to base a meaningful performance rating. This is neither a negative nor positive assessment.
A1. 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).
Problem Resolution SU SA U N
Process Improvement SU SA U N
Thoroughness SU SA U N
Accuracy SU SA U N
Timeliness SU SA U N
Innovativeness SU SA U N
A2. Quality of Written Products:
Concise SU SA U N
Complete SU SA U N
Accurate SU SA U N
A3. Proficiency in:
Contract Management SU SA U N
Financial Management SU SA U N
Risk Management SU SA U N
B. Schedule - Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, administrative requirements (e.g., efforts that contribute to or affect the schedule variance).
Services SU SA U N
Products SU SA U N
HQ0147-10-R-0030
Attachment 7
C. Cost Control - Assess the contractor’s effectiveness in forecasting, managing, and controlling contract cost.
Performed Within Estimates SU SA U N
D1. Business Relations - Assess the integration and coordination of all activity needed to execute the contract, and timely award and management of subcontracts.
Business/Contracting Relations SU SA U N
Subcontract Management SU SA U N
D2. Customer Satisfaction (End Users-when applicable)
Interaction with End Users SU SA U N
Responsiveness SU SA U N
E. Management of Key Personnel - Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.
Met Contract Requirements SU SA U N
Retention SU SA U N
Replacement Speed and Quality SU SA U N
Transition to New Key Personnel SU SA U N
F. Transition / Phase-in - Assess the contractor’s effectiveness on maintaining business continuity while transitioning/phasing in resources and personnel to support other efforts.
Business Continuity SU SA U N
Smoothly transition resources and personnel SU SA U N
G. Information Technology - Assess the contractor’s capability to manage and sustain large Information Technology (IT) classified and unclassified networks and systems.
SU SA U N
H. Information Assurance (IA) - Assess the contractor’s knowledge to accredit Information Technology classified and unclassified networks and systems IAW the DoD Information Assurance Certification and Accreditation Process (DIACAP). Also, assess the contractor’s technical competence and approach to develop and manage Information Assurance plans and procedures
SU SA U N
I. Software - Assess the contractor’s capability to execute and manage Software Development activities and competence to design, develop, and implement complex software systems.
SU SA U N
18. Any unsatisfactory performance identified above has been shared with the contractor. ( ) Yes: written or oral ? ( ) No
19. Given the choice, would you do business with this contractor again? ( ) Yes ( ) No
ADDITIONAL COMMENTS YOU WOULD LIKE TO SHARE (please add a continuation page if additional space necessary):
| _____________________________ | ____________________ | |
| SIGNATURE | DATE: |
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