Section_L_Addendum _Atch_4_PastPerformanceQuestionnaire_(PPQ).docx

HQ0147-13-R-0005

Section L, Attachment 04

SUBJECT: Past Performance Questionnaire for ____________________; Request for Proposal (RFP) Number HQ0147-13-R-0005, Learning Asset Development, Sustainment, and Support (LADSS) 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 Learning Asset Development, Sustainment, and Support (LADSS) 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:

bradley.price@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 Bradley Price at bradley.price@mda.mil or 256-450-3257. Your cooperation in this matter is greatly appreciated.

Sincerely,

Encl

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 Learning Asset Development, Sustainment, and Support (LADSS). [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 Bradley Price (Contracting Officer), at bradley.price@mda.mil.

[Our firm] is competing for Solicitation #HQ0147-13-R-0005 as a:

Prime Contractor

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

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:

17. Please indicate the response code which best reflects your experience with this contractor by placing an “X” in the appropriate block using the scale provided to the right of each item. This scale and response codes are defined as follows:

Exceptional (E) – Contractor performance exceeds many contract requirements and expectations with minor problems and highly effective corrective actions.

Very Good (VG) – Contractor performance exceeds some contract requirements and expectations with some problems and effective corrective actions

Satisfactory (S) - Contractor performance meets all contract requirements with some problems and satisfactory corrective actions.

Marginal (M) - Contractor performance fails to meet some contract requirements with serious problems and insufficient corrective actions but can recover.

Unsatisfactory (U) - Contractor performance fails to meet most contract requirements with very serious problems and ineffective corrective actions recovery is unlikely.

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. Problem Resolution

A2. Process Improvement

A3. Thoroughness – Quality Assurance Performed prior to delivery

A4. Accuracy/Relevant

A5. Timeliness

A6. Innovativeness

B1. Concise

B2. Complete

B3. Accurate/Error Free and Grammatically Correct

C1. Contracting

C2. Financial Management

C3. Cost Estimating

C4. Earned Value Management

C5. Industrial Property

C6. Facilities Engineering

C7. Information Technology

C8. Life Cycle Logistics

C9. Systems Engineering

C10. Production, Quality and Manufacturing

C11. Program Management

C12. Test and Evaluation

C13. Science and Technology

D1. Services

D2. Products

E1. Performed Within Estimates

F1. Business/Contracting Relations

F2. Subcontract Management

H1. Met Contract Requirements

H2. Retention

H3. Replacement Speed and Quality

H4. Transition to New Key Personnel

H5. Responsiveness to Corrective Actions/Customer Requests

H6. Interaction with Program Manager and other key Government Personnel

J1. Business Continuity

J2. Smoothly Transition Resources and Personnel

L1. Knowledge to Accredit Information Technology Classified and Unclassified Networks and Systems in accordance with the DoD Information Assurance Certification and Accreditation Process (DIACAP)

L2. Technical Competence and Approach to Develop and Manage Information Assurance Plans and Procedures

M1. Capability to Execute and Manage Software Development Activities

18. Your overall assessment of the contractor performance taking all the above into account is: Please briefly explain your assessment as well.

( ) Exceptional ( ) Very Good ( ) Satisfactory ( ) Marginal ( ) Unsatisfactory

19. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

20. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

( ) Yes ( ) No

If yes, please explain. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

21. Did the contractor delivery a 508 and SCORM compliant product?

( ) Yes ( ) No

If no, please explain. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

22. Did the contractor delivery stated requirements set forth in the contract under the original timeline?

( ) Yes ( ) No

If no, please explain. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

23. Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!