Attachment_3_-_TPS_Past_Performance_Survey.pdf

Transportation Protective Service (TPS)

SOLICITATION: HTC711-13-R-R005

ATTACHMENT 3

PAST PERFORMANCE SURVEY

When Filled In This Document Is Source Selection Sensitive

Information IAW FAR 2.101 & 3.104

A. GENERAL INFORMATION: (To be completed by Offeror)

Contractor’s Name:

Address:

Telephone Number:

Email:

Point of Contact:

Project Title and Brief but Detailed Description of Work (including workload estimates):

Contract Number:

Total Contract Value (Base & Option Years):

Place of Performance:

Period of Performance:

Contractor Performed as a Prime or Sub-contractor:

B. RESPONDENT INFORMATION: (To be completed by Respondent)

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

Note: If any of the information in Section A is incorrect, please make necessary changes. Also, if offeror holds or has held other relevant contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

C. FAX OR E-MAIL COMPLETED SURVEY FORM TO: (To be completed by Respondent)

Please fax/email the completed survey to the below address no later than: 4:00 PM Central, 4 September 2013 to:

USTRANSCOM/TCAQ-R

ATTN: Mr. Belfield Collymore or Ms. Lindsay Carr Fax: 618-220-7918

Phone: 618-220-7038 or 618-220-7034 Email: belfield.collymore@ustranscom.mil Email: lindsay.carr@ustranscom.mil

Direct survey completion questions/comments to the above address/individual(s)

NOTE: Past Performance Information Retrieval System (PPIRS) may be reviewed. Although you may have filed a Contractor Performance Assessment Report (CPARS) for the contract listed, we would appreciate your response to this survey because some of the questions relate to areas not covered by CPARS.

D. PERFORMANCE INFORMATION: (To be completed by Respondent) Choose the number on the scale of 1 (low) to 5 (high) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

EXCEPTIONAL Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

VERY GOOOD Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

SATISFACTORY Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

THE CONTRACTOR:

1 Has the contractor performed the requirements of the contract? Please discuss if the contractor has received letters of concern, contract discrepancy reports, cure notices, or show cause letter. (Quality of Service)

1 2 3 4 5 N/A

2 Does the contractor meet the terms of the contract within the contractually agreed price? Please discuss any claims and equitable adjustments. (Cost Control)

1 2 3 4 5 N/A

3 Is the contractor proactive in their approach to meeting contract requirements, changing mission requirements, issues, concerns, and problems? (Business Relations)

4 Does the contractor perform contract requirements on schedule, such as timely pickup and delivery? (Timeliness of Performance)

5 Does the contractor have a high turnover rate for any management and non-management positions? Please discuss how this affects efficient performance of contract requirements. (Personnel)

6 Did the contractor demonstrate their ability to provide accurate and timely Intransit Visibility (ITV) from origin pick-up to destination delivery?

7 Did the contractor provide effective quality control and/or inspection procedures to meet contract requirements?

GENERAL:

8 How would you rate the contractor’s overall performance?

9 Would you award another contract to this contractor? If not, explain below. YES NO

REMARKS:

PLEASE PROVIDE A PARAGRAPH SUPPORTING YOUR ABOVE RATINGS. 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.

Survey Respondent’s Signature Date

Thank you for your prompt response and assistance!