Attachment_6_-_Past_Performance_Questionnaire_Form.pdf

Source Selection Information - See FAR 3.104

For Official Use Only

Past Performance Questionnaire

HTC71119RD007

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.

USTRANSCOM/TCAQ-D

ATTN: Rebecca Connor and/or JaneAnne Holten 508 Scott Drive, Bldg. 1900W

Scott AFB, IL 62225-5015 E-mail : rebecca.m.connor.civ@mail.mil and janeanne.m.holten.civ@mail.mil Phone: 618-220-6730 DSN 770-6730

618-220-7112 DSN 770-7112

NOTE: CPARS and/or PPIRS 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:

mailto:rebecca.m.connor.civ@mail.mil mailto:janeanne.m.holten.civ@mail.mil

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 respondents 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? Did personnel possess the necessary training and/or certification, as applicable?

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?

c. How effective was the contractor in aligning and re-aligning resources (personnel and other) to meet varying shifting priorities associated with mission requirements?

2. Technical

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

b. How effective was the contractor in accomplishing planned project activities, requirements, and deliverables within the established timeframes and/or as identified in the Performance Work Statement

(PWS)?

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

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 supporting the Department of Defense (DoD), to include supporting multiple component commands under a single contract.

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

b. Experience in supporting DOD Architecture Framework (DODAF) and Federal Enterprise Architecture Framework (FEAF) projects.

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

c. Experience providing services in support of enterprise data governance and data management, utilizing the DAMA Data Management Framework.

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

d. Experience providing enterprise engineering support to include systems engineering disciplines, configuration management, cloud computing, DevOps, and engineering modeling.

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

5. Contractor’s Overall Performance

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.

FAX: (DSN) __________________________(Commercial) _______________________________