Atch_5_-_PP_Questionnaire.docx

HTC711-18-R-D005 Attachment 5 Source Selection Information - See FAR 3.104 For Official Use Only Source Selection Sensitive When Filled In

Past Performance Questionnaire

USTRANSCOM

HTC711-18-R-D005, Third Party Payment System

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. Rating definitions are provided on the last page. Please respond by sending the entire completed questionnaire, in PDF format, via e-mail to both of the individuals below.

Scott AFB, IL 62225-5015 E-mail : jonathan.c.brunick.civ@mail.mil

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:

II. RESPONDENT(S) TO QUESTIONNAIRE

Name:

Position/Title:

Business Address:

Relation to Program:

Phone: (DSN)_____________________________(Commercial)__________________________________

FAX: (DSN) _____________________________(Commercial) __________________________________

Other suggested points of contact:

Please note that if your responses indicate 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 commentor’s name or office.

III. PERFORMANCE EVALUATION

NOTE: Remarks are not limited.

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?

REMARKS:

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

REMARKS:

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

REMARKS:

2. Technical

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

REMARKS:

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

REMARKS:

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

REMARKS:

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

Yes _____ No _______

REMARKS:

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 _______

REMARKS:

4. Key Areas

a. Experience with providing an auditable and real-time Third Party Payment System to include making timely payments as outlined in the PWS. Experience with cooperating/supporting audit readiness; specifically data mining, lean six sigma, or other audit techniques initiated by customers.

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

REMARKS:

b. Experience with cooperating/supporting audit readiness; specifically data mining, lean six sigma, or other audit techniques initiated by customers.

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

REMARKS:

5. Contractor’s Overall Performance

REMARKS:

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

Yes ___________ No__________

If “No”, why?

Any additional comments:

Source Selection Information - See FAR 3.104 For Official Use Only Source Selection Sensitive When Filled In