Past Performance Questionnaire.pdf

Past Performance Questionnaire (References to Complete)

The contractor listed below is being considered in a source selection by the George C. Marshall Center (GCMC) in Garmisch, Germany. We would appreciate if you would provide us with comments regarding the contractor’s past performance. Your comments are considered source selection sensitive; therefore, you are advised that the United States Federal Acquisition Regulation (15.1004) prohibits the release of the names of individuals providing reference information about a contractor’s past performance. In order to maintain the integrity of the source selection process, we respectfully request that you do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals. Please fax or e-mail this form as soon as possible to: Ben Hardy at +49 (0) 8821-750-2554 or benjamin.n.hardy@eur.army.mil

Background information of GCMC’s requirement:

The Marshall Center requires information technology/information management (IT/IM) support services for unclassified networks comprised of approximately 500 users and 750 computers, printers, and other network devices.

The contractor shall provide IT/IM support in English and Russian. Services performed under this contract shall consist of a full range of IT/IM services, to include but not limited to Information Assurance (IA) support, Network Administration support, Systems Administration support and Help Desk support and training in IT/IM related topics.

The contractor shall provide the necessary professional, competent, and dedicated on-site and off-site IT service..

__________________________(the name of the proposed company/major subcontractor shall be completed by the quoter before sending the form to references) is being considered as a __________________ (describe the function(s) to be performed by this firm).

Your Project Information:

1. Contractor’s name (prime/sub):

2. Project title/contract number:

3. Date of award: 4. Actual completion date:

5. Contract currently in process: Yes No

6. Contract value per year:

7. Contract type: (FFP/CPAF/Etc.)

8. What equipment was procured, installed, operated or consistently maintained under your contract?

For Official Use Only

9. Please describe the functional and technical objectives of your contract.

10. Please describe the direct correlation to the nature, complexity and operational factors in relation to GCMC’s requirements:

Information on Reference: (The following information will assist in the analysis of the data. Information will be kept confidential.)

1. Name:_______________________________________ Date:________________

2. Phone no.:________________________________ Fax no.:_________________

3. Address:__________________________________________________________

4. Your position or function in relation to project:_____________________________

5. Have you personally observed this contractor in the workplace?

Ratings: (Please evaluate the instructor's performance using the following ratings.) (how do these ratings compare to the ratings used in our Plan?)

“VG” Very Good The contractor’s performance clearly exceeded the contract requirements.

“G” Good The contractor’s performance somewhat exceeded the contract requirements.

"S" Satisfactory The contractor’s performance met the contract requirements.

"M" Marginal The contractor’s performance met the minimum contract requirements but with difficulty.

"U" Unsatisfactory The contractor’s performance was poor and/or did not satisfy contract requirements.

Please rate and provide any supporting information for the following: (Use additional sheets as needed)

1. Please describe the relationship between the contractor and your contract team.

Rating

2. Please describe the contractor's on-site management and coordination of subcontractors.

3. Please describe the contractor's overall corporate management, integrity, reasonableness and cooperative conduct.

4. Please describe the contractor's ability to provide the required work at a reasonable total price.

5. Please describe which portions of your contract directly correlate to the requirement of the Marshall Center as described above.

6. Has the contractor been given any of the following: Cure notice, show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.

7. Was the customer satisfied with the end product?

8. Has the contractor been provided an opportunity to discuss any negative performance ratings? If so, what were the results?

9. Would you award another contract to this contractor? If no, please state reasons for not recommending this contractor for additional work.

10. Has an official contractor performance evaluation been completed for this contract? If so, please provide the official evaluation with your response to this questionnaire.

Please provide any additional comments you think we should consider when making our selection:

Signature of Reference:

Past Performance Questionnaire (References to Complete)