Attachment L-02_ TEAMS ITMA - Past-Performance-Questionnaire.pdf
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- Solicitation number
- HQ0147-16-R-0015
- Issued by
-
DOD Missile Defense Agency
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Attachment L-02_ TEAMS ITMA - Past-Performance-Questioners
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Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only (When Filled In)
HQ0147-18-R-0004
Attachment L-02 Past Performance Questionnaire
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: Thomas.Keller@mda.mil
I. Solicitation Data (for the proposed effort)
Solicitation Number Project/Requirement Customer/Agency
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
Description
Please select from the following as it applies to this contract:
Contracting Role PRIME SUBCONTRACTOR Termination History Convenience Default N/A
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.
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?
Schedule
Performance
Please provide rationale for assigned rating.
Source Selection Information When Filled In – See FAR 2.101 and FAR 3.104
3. Management
a. What is your OVERALL assessment of the Contractor’s management performance?
Management
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 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?
Cost Control
Source Selection Information – See FAR 2.101 and FAR 3.104
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
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
| Past Performance Questionnaire |
| Instructions: |
| I. Solicitation Data (for the proposed effort) |
| III. Assessor Information |
| The following definitions should be used in your assessment of Contractor performance. |
| a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements of the contract? |
| 2. Schedule Performance |
| a. What is your OVERALL assessment of the Contractor’s ability to meet schedule? |
| 3. Management |
| a. What is your OVERALL assessment of the Contractor’s management performance? |
| b. Assess the Contractor’s management performance in the following areas. |
| 4. Cost Control |
| a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs? |
| b. Assess the Contractor’s cost performance in the following areas. |
| VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed. |
| VII. General Comments: |
| Assessor’s Signature |
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