03.11.11 - Attachment 6 Past Performance Questionnaire

FROM: ACQUISITIONS DIRECTORATE, INTERNATIONAL COMMERCIAL SERVICES BRANCH

SUBJECT: Past Performance Survey for Solicitation HTC711-11-R-W001

The U.S. Transportation Command is in the process of selecting a contractor to perform overpacking and door-to-door transportation of perishable subsistence in the Pacific. The successful contractor will perform a full range of courier services for the Department of Defense.

One of the significant considerations in proposal evaluation is the verification of the offeror’s past performance on contracts which reflect the offeror’s ability to perform on the proposed effort. We depend on information received from sources such as yours, which have had first-hand experience with an offeror, for the evaluation of the offeror’s performance on those contracts. If information on this particular contractor has been entered into the Contractor Performance Assessment Reporting System (CPARS), please annotate that in the appropriate block. We will use this information, as well as the specific information obtained from this survey, to complete our analysis of an offeror’s past performance.

Our areas of interest in the offeror are summarized in the enclosed survey. We need your written response no later than 15 April 2011. This schedule will allow us sufficient time to analyze the data prior to the start of evaluations.

To assist you in preparing your response and expediting your reply, the survey may be typed or handwritten and either scanned and emailed to Jason.Logsdon@ustranscom.mil or Jacquelyn.Stepka@ustranscom.mil or “faxed” to 618-220-7909 (DSN 770-7909), Attention: Jason Logsdon or Jacquelyn Stepka. Please call Jason Logsdon or Jacquelyn Stepka at 618-220-7090 or 618-220-7131 prior to transmission or if you have any questions. Your completed survey will become a part of the official records.

Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this award

Attachment:

UNITED STATES TRANSPORTATION COMMAND

508 SCOTT DR

SCOTT AIR FORCE BASE IL 62225-5357

ATTACHMENT 6 – PAST PERFORMANCE QUESTIONNAIRE

Survey Solicitation No. HTC711-11-R-W001 Overpacking and Transportation of Perishables to the Pacific 2

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

SECTION 1: CONTRACT IDENTIFICATION

INSTRUCTIONS: This section is to be filled out by the contractor requesting information and sent to the respondent.

A. Contractor Name: _________________________________________________________________

B. Contract number: _______________________________________

D. Contract type: __________________________________________

E. Period of performance: _________________________________________________

F. Initial Contract cost: $____________________________

G. Final Contract cost: $____________________________

H. Reasons for differences between initial contract cost and final contract costs: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I. Description (dry/chill/frozen) and Quantities (Annual or monthly) of requirements (packaging, transportation, both) under this contract: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

J. Explanation of Relevancy:

K. Contractor being evaluated performed as the: _____ Prime or ______ Subcontractor (Mark one)

SECTION 2: RESPONDENT INFORMATION

INSTRUCTIONS: The remaining sections are to be filled out by Respondent. Once completed, respondent sends to USTRANSCOM Acquisition Office.

A. Customer or agency name: ____________________________________________________

B. Respondent's name: __________________________________

C. Respondent's title: ____________________________________

D. Respondent's phone/fax number: ______________________________________

E. Respondent’s Email: ___________________________________

F. Contract Performance Data assessed in Contractor Performance Assessment Reporting System (CPARS): ________Yes or ________No

SECTION 3: PERFORMANCE INFORMATION

INSTRUCTIONS: Choose the term that most accurately describes the contractor’s performance or situation.

The results of this survey aide the Government in assigning an overall assessment of what the contractor can perform in accordance with the solicitation, based on the responses below. In responding to the survey, please justify and explain Exceptional, Marginal, and Unsatisfactory ratings. Please include comments to explain all ratings given. Respondent may be contacted to clarify comments or ratings. In order for the government to review and assess the contractor’s past performance rating, please use the following ratings to describe the offeror’s performance on your contract or project:

Exceptional - Performance met all contract requirements and exceeded many to your company’s (or agency’s) benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Very Good - Performance met all contract requirements and exceeded some to your company’s (agency’s) benefit. There were a few minor problems that the contractor resolved in a timely, effective manner.

Satisfactory - Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Marginal - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective or was not fully implemented.

Unsatisfactory - Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Unknown - No record of past performance or the record is inconclusive.

NOTE: If you have rated this contractor on this particular contract or project in CPARS or some other evaluation system accessible to the Government, you may indicate that past performance information on this contract/project is available in the appropriate system and you may include a copy of that rating in lieu of the following questionnaire.

SECTION 4: NARRATIVE DESCRIPTION

1. Please discuss each and every response for which you indicated Exceptional, Marginal, or Unsatisfactory in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? YES________ NO________

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.)

3. Explain the contractor’s greatest strengths and/or weaknesses and your rationale for why you would or would not award a future contract to them.

4. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

5. Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email: Jason.Logsdon@ustranscom.mil or Jacquelyn.Stepka@ustranscom.mil

Or FAX to: 618-220-7909 (DSN 770-7909) image1.wmf