Atch_6_-_Past_Performance_Questionnaire.pdf

Attachment 6

Past Performance Questionnaire

USTRANSCOM

HTC711-15-Q-D059

AMC Phased Array

Please provide concise comments regarding your overall assessment of the contractor’s performance on the contract or workload identified below. Your ratings should include comments for any area rated Exceptional or lower than Satisfactory. Please respond by sending the entire completed questionnaire, including these instructions, via e-mail to the address below.

USTRANSCOM/TCAQ-DPO

ATTN: Matthew Hellmann E-mail : matthew.j.hellmann.civ@mail.mil

Phone: 618-220-7071 DSN 770-7071

NOTE: CPARS may be reviewed for the contractors in addition to the responses to this questionnaire. Although you may have filed a CPARS for the contract listed, we would appreciate your response to this questionnaire because some of the questions relate to areas not covered by CPARS.

Index Number _____________________ (To be completed by USTC/TCAQ upon receipt of completed questionnaire.)

I. WORK PERFORMED IDENTIFICATION

Contractor (Company/Division):

Contract Number/Type (FFP, CPFF, etc):

Work Performed Title:

Brief Description of Work Performed:

Dollar value:

Period of Performance:

Source Selection Information - See FAR 3.104 For Official Use Only

Source Selection Sensitive When Filled In 1

II. RESPONDENT(S) TO QUESTIONNAIRE

Name:

Position/Title:

Business Address:

Relation to Program:

Phone: (DSN)_____________________________(Commercial)__________________________________

FAX: (DSN) _____________________________(Commercial) __________________________________

Other suggested points of contact:

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 commenter’s name or office.

REMARKS: ___________________________________________________________________________

III. PERFORMANCE EVALUATION

NOTE: Remarks may be continued on separate pages. Please identify category and question number.

1. Staffing

a. Were the types of personnel (skill and expertise) the contractor used adequate to accomplish the effort without government intervention?

Exceptional____Very Good____Satisfactory____Marginal____Unsatisfactory____N/A____

REMARKS:

b. Did the contractor provide replacement personnel of the same quality and skills of vacancies with minimum disruption to the support effort?

Source Selection Sensitive When Filled In 2

c. How effective was the contractor in aligning and re-aligning resources (personnel and other ) to meet varying workloads?

d. How would you rate the contractor’s emphasis on customer satisfaction?

2. Technical Approach

a. How would you rate the contractor's overall technical approach?

b. How effective was the contractor in accomplishing planned project activities/requirements within the established milestones/timeframes?

c. How effective was the contractor in accomplishing quality checks to ensure that the final deliverables met the Statement of Work requirements?

Source Selection Sensitive When Filled In 3

d. Were there any penalties for non-performance assessed against the contractor and, if so, to what extent?

Yes _____ No _______

3. Cost Control

a. If the contract was other than firm fixed price, did the contractor use effective methods and effective cost controls? Yes _____ No _______

4. Key Areas

a. Experience in installing pRFID Phased Array systems using equipment similar to IMPINJ or RF Controls.

If the above experience is applicable, provide a description of the effort performed and a performance rating.

b. Experience with Real Time Locating Service (RTLS).

If the above experience is applicable, provide a description of the effort performed and a performance rating.

5. Contractor’s Overall Performance

Source Selection Sensitive When Filled In 4

6. Would you award to this contractor in the future?

Yes ___________ No___________

If “No”, why?

Any additional comments:

Rating Definition Exceptional Performance meets contractual requirements and exceeds many requirements to the

Government’s benefit.

Very Good Performance meets contractual requirements and exceeds some requirements to the

Government’s benefit.

Satisfactory Performance meets contractual requirements.

Marginal Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet implemented satisfactory corrective actions.

Unsatisfactory Performance does not meet contractual requirements and recovery is not likely in a timely manner. Contractor’s corrective actions to date are ineffective.

Source Selection Sensitive When Filled In 5

FAX: (DSN) _____________________________(Commercial) __________________________________