HSCG85-13-R-P45005_Walnut_DS14_PP_Questionnaire.doc

Past Performance Questionnaire(s): Source selection will be heavily weighted in favor of completed, official federal past performance reports (e.g. CPS, CPARS, APARS) with report completion dates no earlier than 3 years prior to the solicitation issue date. Offerors shall not submit any such completed federal past performance reports as they are already retrievable from a Government-wide database.

However, in the event that your firm has not been officially evaluated by a federal agency (for instance, contracts exceeding $150,000 with states, commercial firms, local governments), you are invited to have those customers submit information to the individual in Block 7 of the cover page (SF1449) through the attached questionnaire. Fill out the first 2 blocks and submit to customers to complete, utilizing the attached Rating Guidelines. Have your customer send his/her questionnaire response directly via email to the individual in Block 7 of the cover page (SF1449). Offerors are advised that incomplete or poorly supported information will automatically be considered non-relevant in the evaluation process. Respondents are responsible for ensuring that questionnaires reach the intended destination through confirmation with customers. Respondents shall not seek confirmation of receipt from the Government. Furthermore, respondents shall not ask customers to supply completed questionnaires on projects for which a report already exists in the federal system. SFLC will discard such (duplicative) questionnaires.

PAST PERFORMANCE CUSTOMER QUESTIONNAIRE

HSCG85-13-R-P45005

(2 pages)

1.

OFFEROR FIRM/ORGANIZATION: (enter your shipyard’s name)

2.

PERIOD OF PERFORMANCE: (from)

(to)

CONTRACTING OFFICE:

CONTRACT NUMBER: TASK NO:

CUSTOMER ORGANIZATION:

CUSTOMER POC:

CUSTOMER PHONE NO.

ADDRESS:

CITY: STATE: ZIP CODE:

CONTRACT AWARD DATE:

CONTRACT VALUE (final value): $

TYPE OF CONTRACT:

DESCRIPTION OF REQUIREMENT (Title):

QUALITY OF PRODUCT OR SERVICE: (Rating ___) Additional Comments on Rating:

TIMELINESS OF PERFORMANCE: (Rating ___) Additional Comments on Rating:

BUSINESS RELATIONS: (Rating ___) Additional Comments on Rating:

Signature (Customer)

RATING GUIDELINES FOR CUSTOMERS

Summarize contractor performance in each of the rating areas. Assign each area a rating of

0 (Unsatisfactory) 1 (Poor) 2 (Fair)

3 (Good) 4 (Excellent)

5 (Outstanding)

Use the following instructions as guidance in making these evaluations.

· Compliance with contract requirements

· Accuracy of reports

· Effectiveness of personnel

· Technical excellence

· Met interim milestones

· Reliability

· Responsive to technical direction

· Completed on time including wrap-up and contract administration

· Met delivery schedules

· No liquidated damages assessed

· Effective management, including subcontracts

· Reasonable/cooperative behavior

· Responsive to contract requirements

· Notification of problems

· Flexibility

· Pro-active vs reactive

5 - Outstanding - The contractor has demonstrated an outstanding performance level in any of the above three categories that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances when contractor performance clearly exceeds the performance levels described as "Excellent."