Past_Performance_Questionnaire.pdf

Contract # Being Evaluated ___________________ RDC-6 HTC711-13-R-W001

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:__________________________________________________________________

C. Contract type: ____________________________________________________________________

D. Period of performance: _____________________________________________________________

E. Initial Contract cost: $____________________________

F. Final Contract cost: $_____________________________

G. Explain the reasons for differences between initial contract cost and final contract costs:

H. Description (containerized) and Quantities (Annual or monthly) of requirements shipped under this contract:

I. Description (breakbulk) and Quantities (Annual or monthly) of requirements shipped under this contract:

J. Number of voyages completed under this contract:

K. Location (countries) where service was performed under this contract:

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

Contract # Being Evaluated ___________________ USC-7 HTC711-11-R-W004

SECTION 2: RESPONDENT INFORMATION

INSTRUCTIONS: The remaining sections are to be filled out by Respondent. Once completed, respondent sends to USTRANSCOM Acquisition Office via E-mail to: dorothy.dailey@ustranscom.mil and jr.oliver@ustranscom.mil or USTCAQ-OTO-USC@ustranscom.mil. Please indicate “Performance Survey” in the subject.

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 will aid the Government in determining whether there is a reasonable expectation that the contractor will successfully perform the required effort under the Universal Services contract (USC) 7 acquisition. In responding to the survey, please justify and explain Marginal, and Unsatisfactory ratings. 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.

1. TECHNICAL CAPABILITY – On‐Time Delivery

Unsatisfactory Marginal Satisfactory Very Good Exceptional Unknown

A. Contractor provided on‐time delivery of shipments and consistently met contract schedule.

B Contractor provided operational reports in a timely manner.

2. TECHNICAL CAPAPILITY – Quality of EDI Data

Unsatisfactory Marginal Satisfactory Very Good Exceptional Unknown A. Contractor was capable of electronically receiving orders, including increases/decreases to orders.

B. Contractor was able to receive electronic cancellations of previously ordered Service.

C. Contractor provided accurate & timely shipment status reports.

3. TECHNICAL CAPAPILITY – Consistency and Reliability of Service

Unsatisfactory Marginal Satisfactory Very Good Exceptional Unknown

A. Contractor provided service per advertised schedules

B. Contractor provided service to ports of call indicated in their advertised schedule without deviation.

C. Contractor provided frequency of service as advertised in their schedules.

D. Contractor was flexible in responding to customer requirements.

4. TECHNICAL CAPABILITY – Loss of and/or Damage to Shipments

Unsatisfactory Marginal Satisfactory Very Good Exceptional Unknown

A. Contractor provided transportation service without loss of cargo.

B. Contractor provided transportation service without damage to cargo.

5. OVERALL PERFORMANCE

Unsatisfactory Marginal Satisfactory Very Good Exceptional Unknown

A. Overall Performance of the contractor.

SECTION 4: NARRATIVE DESCRIPTION

1. Please discuss each and every response for which you indicated 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.