TAB_13B_Past-Perf-Questionnaire_-_20May19.docx

Past Performance Questionnaire

Instructions:

· Sections I and II to be completed by the Offeror/ Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/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: joshua.kachelman@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.

Type of Contract

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

Source Selection Information – FAR 2.101 and FAR 3.104 For Official Use Only (When Filled In)

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.

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.

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?

Overall Technical Performance

Experience in visual information production and professional quality graphic design

Experience in motion media requirements

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.

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 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 – 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.

DISPERSED LOCATIONS—

Effective management of personnel and resources across geographically dispersed locations.

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

For Source Selection Information – FAR 2.101 and FAR 3.104

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

VII. General Comments:

Assessor’s Signature Date For Source Selection Information – FAR 2.101 and FAR 3.104 For Official Use Only (When Filled In) image3.png image4.png image5.png image6.png image7.png image8.png image9.png image10.png image11.png image12.png image13.png image1.png image2.png