Attachment_L-02_Past-Performance-Questionnaire-Template.pdf

HQ0147-16-R-0002

Attachment L-02

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

Past Performance Questionnaire

Instructions:

Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office.

Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

Sections III through VII to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by MDA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the

Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: TEAMS_PredEng@mda.mil@mda.mil

I. Solicitation Data (for the proposed effort)

Solicitation Number

Project/Requirement

Customer/Agency

Project/Requirement

Description

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is correct or incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract No

Type of Contract

Initial Final

Contract Value

Period of

Performance/Delivery

Schedule

Project/Requirement

Description

Please select from the following as it applies to this contract:

Contracting Role PRIME SUBCONTRACTOR

Termination History Convenience Default N/A mailto:TEAMS2015@mda.mil

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

III. Assessor Information

Assessor Name

Title

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

Role Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA)

Auditor

Other:

IV. . Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the

Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance meets minimum contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance does not meet some contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance does not meet most contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

No information or did not apply to your contract. Unable to provide assessment.

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

V. Performance Evaluation

1. Technical Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements of the contract?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Technical

Performance

Please provide rationale for the assigned rating.

2. Schedule Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet schedule?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Schedule

Performance

Please provide rationale for assigned rating.

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

3. Management

a. What is your OVERALL assessment of the Contractor’s management performance?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Management

Please provide rationale for assigned rating.

b. Assess the Contractor’s management performance in the following areas.

Management Exceptional Very

Good

Satisfactory Marginal Unsatisfactory N/A

MANAGEMENT

RESPONSIVENESS—

Timeliness, completeness, and quality of problem identification, proposal submittal, history of cooperative behavior, effective business relations, teamwork AND Customer satisfaction.

SUBCONTRACT

MANAGEMENT—Timely award and management of subcontracts and meeting subcontracting goals for small business, small disadvantaged business, etc.

PROGRAM

MANAGEMENT—

Effectiveness of integration and coordination of all activities required to execute

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices.

MANAGEMENT OF

PERSONNEL—Ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the

Government’s requirements within schedule and budget.

INTEGRATED

MANAGEMENT APPROACH

—Commitment to working efforts in a collaborative environment with customers.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Cost Control

Please provide rationale for assigned rating.

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

b. Assess the Contractor’s cost performance in the following areas.

Management Exceptional Very

Good

Satisfactory Marginal Unsatisfactory N/A

COST REPORTING—

Accuracy and timeliness of the Contractor’s cost reporting data.

NOTIFICATIONS—

Timeliness of the

Contractor’s notifications of costs as required by the

Limitation of Cost/Funds

Clauses.

RESOLUTION OF COST

PROBLEMS—Commitment to resolve cost issues—may include efforts to work with the Government customer to identify opportunities to reduce costs.

ADHERENCE TO COST

TARGETS—Ability to establish and meet the realistic cost targets.

SUBCONTRACT COST

MANAGEMENT— Ability to forecast, negotiate, and control subcontract costs

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

Source Selection Information – See FAR 2.101 and FAR 3.104

For Official Use Only

VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. General Comments:

Assessor’s Signature Date