Attachment_8_-_Past_Performance_Questionnaire.docx
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- HTC711-14-R-D003
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Attachment 8 - Past Performance Questionnaire
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Source Selection Information - See FAR 2.101 & 3.104 Source Selection Sensitive When Completed
FOR OFFICIAL USE ONLY
Solicitation: HTC711-14-R-D003
ATTACHMENT 8
Past Performance Questionnaire
AUTOMATIC IDENTIFICATION TECHNOLOGY & IN-TRANSIT VISIBILITY
PROGRAM SUPPORT SERVICES IDIQ - USTRANSCOM
Instructions to Offerors:
1) Complete only page 1 of this past performance questionnaire.
2) Forward the past performance questionnaire cover letter (Attachment 7) and the entire past performance questionnaire, with the completed page 1, to the respondent.
3) Insert a copy of the completed page 1 in your Volume III – Past Performance Proposal.
I. OFFEROR’S INFORMATION (Completed by Offeror)
Offeror’s Company Name:_________________________________________ Address: _________________________________________ Telephone Number: _________________________________________ Email: _________________________________________ Point of Contact: _________________________________________
II. WORK PERFORMED IDENTIFICATION (Completed by Offeror)
Respondent’s Company/Agency Name (Company/Division): _________________________________________
Point of Contact: _________________________________________
Email & Telephone Number: _________________________________________
Contract Number & Type (Firm Fixed Price (FFP), etc): _________________________________________
Work Performed Title: _________________________________________
Brief Description of Work Performed:
Problems and Corrective Actions:
Total Dollar Value: _________________________________________
Period of Performance: _________________________________________
Work Performed as a Prime or Sub-contractor: _________________________________________
Instructions to Respondents:
1) Verify the information on page 1 is accurate.
2) Provide concise comments regarding your overall assessment of the offeror’s performance on the contract or work identified.
3) Please send the entire completed questionnaire via e-mail to the address below NLT 12:00 Central, 2 Dec 13.
| USTRANSCOM/TCAQ-D |
| ATTN: Ms. Lynette Stevenson |
| 508 Scott Drive, Bldg. 1900W |
Scott AFB IL 62225 E-mail: lynette.stevenson@ustranscom.mil and belfield.collymore@ustranscom.mil Phone: 618.220.7055 DSN 220.7055
NOTE: Past Performance Information Retrieval System (PPIRS) may be reviewed for the offerors as well as responses to this questionnaire. Although you may have filed a Contractor Performance Assessment Report (CPAR) for the contract listed, we would appreciate your response to this questionnaire because some of the questions relate to areas not covered by the CPAR.
Index Number _____________________ (To be completed by USTRANSCOM upon receipt of completed questionnaire.)
Your ratings (i.e. High, Significant, etc.) should include comments for any question rated high or lower than Satisfactory.
RATING DEFINITIONS:
(1) High Confidence – Based on the offeror’s performance record, the respondent has high confidence the offeror will successfully perform the required effort.
(2) Significant Confidence - Based on the offeror’s performance record, the respondent has significant confidence the offeror will successfully perform the required effort.
(3) Satisfactory Confidence - Based on the offeror’s performance record, the respondent has confidence the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems.
(4) Unknown Confidence – No performance record is identifiable.
(5) Little Confidence - Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort.
(6) No Confidence – Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.
III. RESPONDENT’S INFORMATION
Name: _________________________________________ Position/Title: _________________________________________ Business Address: _________________________________________ Relation to Program: _________________________________________ Phone: (DSN) ____________________________ (Commercial)___________________________________ FAX: (DSN) ________________________(Commercial) _____________________________
Other suggested points of contact: _________________________________________
Please give a brief, general description of what the contractor was required to provide/deliver. Please note that if your response indicates a weakness in the contractor’s performance, a notification may be submitted to the contractor, and they may be made aware of the comment. The contractor will not be made aware of the respondent’s name or office.
REMARKS: ___________________________________________________________________________
IV. PERFORMANCE EVALUATION
NOTE : Remarks may be continued on separate pages. Please identify category and question number.
STAFFING
1. Were the types of personnel (skill and expertise) the offeror used adequate to accomplish the effort without government intervention?
High______Significant______Satisfactory______Unknown______Little______No______
REMARKS:
2. Did the contractor provide replacement personnel of the same quality and skills of vacancies with minimum disruption to the support effort?
REMARKS:
3. How effective was the offeror in aligning and re-aligning resources (personnel and other) to meet varying workloads?
REMARKS:
4. How would you rate the offeror’s emphasis on customer satisfaction?
REMARKS:
TECHNICAL
5. How would you rate the offeror's overall technical approach?
REMARKS:
6. How effective was the offeror in accomplishing planned project activities/requirements within the established milestones/timeframes?
REMARKS:
7. How effective was the offeror in accomplishing quality checks to ensure that the final deliverables met the Statement of Work requirements?
REMARKS:
8. Were there any penalties for non-performance assessed against the offeror and if so, to what extent?
Yes _____ No _______
REMARKS:
9. How would you rate the contractor’s ability to research and answer technical issues/questions?
REMARKS:
10. How would you rate the contractor’s ability to develop and deliver relevant briefings and high degree of executive presentation skills?
REMARKS:
11. How would you rate the contractor’s ability to provide planning, facilitation and attendant services for meetings regarding specific projects?
REMARKS:
12. If the contract was other than firm fixed price, did the offeror use effective methods and effective cost controls?
Yes _____ No _______
REMARKS:
13. How would you rate the contractor’s ability to perform program management support of Automatic Identification Technology (AIT) & In-Transit Visibility (ITV) initiatives and/or projects that include identification of requirements, scheduling, and life-cycle management?
REMARKS:
14. How would you rate the contactor’s ability to perform logistical functional support that includes identifying AIT/ITV gaps, policy shortfalls, and efforts to eliminate them?
REMARKS:
15. How would you rate the contactor’s ability to perform technical support that includes involvement with national, international and Department of Defense standards and data schemas?
REMARKS:
16. How would you rate the contactor’s ability to assess emerging AIT technologies for potential utilization within the Department of Defense?
REMARKS:
17. How would you rate the contractor’s ability to develop metrics relating to AIT/ITV including supporting data queries, evaluating results, and making recommendations to support decision-making needs?
REMARKS:
18. How would you rate the contractor’s ability to demonstrate expertise in accomplishing program objectives within scope and schedule?
REMARKS:
19. How would you rate the contractor’s overall performance?
REMARKS:
20. Would you award to this contractor in the future?
REMARKS:
21. Any additional comments:
REMARKS:
| ________________________________________ | ________________________ | |
| Questionnaire Respondent’s Signature | Date |
Thank you for your prompt response and assistance.
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