Attachment 4 - Past Performance Cover Letter and Questionnaire.doc

HT0011-11-R-0003

Attachment 4 – Past Performance Questionnaire and Cover Letter

[Company Name] MACROBUTTON DoFieldClick [Street Address] MACROBUTTON DoFieldClick [City, ST ZIP Code]

[Date] MACROBUTTON DoFieldClick [Recipient Name] MACROBUTTON DoFieldClick [Title] MACROBUTTON DoFieldClick [Company Name] MACROBUTTON DoFieldClick [Street Address] MACROBUTTON DoFieldClick [City, ST ZIP Code] DearMACROBUTTON DoFieldClick [Recipient Name]:

[Company Name] has submitted a proposal in response to the Tricare Management Activity (TMA), Solicitation No. HT0011-11-R-0003 entitled “The Pacific Joint Health Information Technology Center Rapid Response R&D Program”. Past performance is an important part of the evaluation criteria for this acquisition, so input from previous customers of the Offeror is important. We would greatly appreciate you taking the time to complete the attached questionnaire. This information is to be provided directly to the Contracting Specialist and Contracting Officer at TMA and is NOT to be disclosed to the Offeror either verbally or in writing. Please provide an honest assessment and return to the Contract Specialist and Contracting Officer’s email addresses shown below, no later than 4:00 pm Eastern on September 26, 2011. If you have any questions, please contact the Tricare Management Activity, Contract Operations Division (TMA/COD) representatives below.

TMA/COD Representatives:

Contracting Officer:

Winona Sewell Hall, Winona.SewellHall@tma.osd.mil Contract Specialist:

Wendy Sellers, Wendy.Sellers@tma.osd.mil

[Company Representative Signature Block] Past Performance Questionnaire Please provide the following information related to each referenced contract effort:

Contract number:

Contractor’s name:

Address:

Type of contract:

Complexity of work:

Description:

Location of work:

Contract dollar value:

Date of award:

Contract completion date:

Type and extent of subcontracting:

If the company used subcontractors:

What was the relationship between the prime and the sub?

How well did the prime manage the subcontractors?

Did the subcontractors perform the bulk of the effort or just add depth on particular technical areas?

Were there any particular significant risks involved in performance of the effort?

Did the company appear to apply sufficient resources (personnel and facilities) to the effort?

How did the contractor perform considering technical performance or quality of the product or service; schedule; cost control (if appropriate); business relations; and management?

Has the firm performed other past efforts with the reference’s agency/firm?

What role in the contract effort did you play (e.g. COR, contract specialist, ACO, etc.) and during what time period did you hold this position?

Do you know of anyone else who might have past performance information on the offeror?

If a problem surfaced, what did the Government and contractor do to fix it?

What are the company’s weak points?

Did the contractor appear to use personnel with appropriate skills and expertise?

Do you have any reservations about recommending a future contract award to this company?

Was the contractor cooperative in resolving issues?

What are the company’s strong points?