Attachment_3_-_Past_Performance_Questionnaire_(1).pdf

Attachment #3: PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a vendor evaluation for solicitation: Defense Advanced Projects Agency (DARPA) Mission Services Office – Parking Management Contract

Please complete this Questionnaire and email to:

HR0011-16-R-0001@darpa.mil

Email Subject Line: DARPA Parking Management Past Performance Questionnaire

Desired Response Date: Before 12 October 2016

When complete, the information on this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE (Month/Year):

4. COMPLETION DATE (Month/Year):

5. CONTRACT VALUE (with options): $

1a: NAME OF PRIME CONTRACTOR for this Requirement (if different from Block 1)

6. TYPE OF CONTRACT:

(FFP, CPFF, T&M, etc.)

7. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page(s) as necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION ( Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

A. Quality of Products and Services – Please provide a statement regarding the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

B. Performance – Please provide a statement regarding the contractor’s performance for the project to include management’s performance.

C. Schedule – Please provide a statement regarding the timeliness of contractor against the schedule of deliverables.

D. Customer Satisfaction – Please provide a statement regarding the contractor’s responsiveness to customer needs.

E. Area for Improvement – If you had to describe one area for improvement, what would it be? Please state the significance.

F. Small Business Participation Goals – Please provide extent that the contractor attained small business participation goals on this contract if applicable.