ID08200028_Attachment 4_Past Performance Questionnaire.pdf

GSA Project #: ID08200028 Past Performance Questionnaire

General Services Administration Federal Acquisition Services

Rocky Mountain Region 8

PAST PERFORMANCE QUESTIONNAIRE

for

DISA TIM III BAS

The offeror must submit the completed and signed questionnaire with the quote.

Section 1 – TO BE COMPLETED BY THE CONTRACTOR

Name of Offeror/Firm:

Contract Number:

Total Contract Value:

Annual Contract Value (including modifications):

Contract Type:

Period of Performance:

Place of Performance:

Percentage of Work Performed by Contractor:

Briefly describe the offeror's performance in regards to the scope and magnitude of effort and complexities on the contract, to include the application of DoD Information Assurance (IA) standards/policies to system application, whether the offeror received/maintained Authority to Operate (ATO) on a DoD network (or commercial equivalent), and how the scope related to the performance task areas referenced in the PWS, and any other relevant characteristics identified in the RFP.

General Services Administration Federal Acquisition Services

Rocky Mountain Region 8

Section 2 – TO BE COMPLETED BY THE REFERENCE

Name of Respondent/Title:

Organization/Agency Name:

Address:

Phone:

Email:

Thank you for your assistance! - Please contact the Acquisition Project Manager, Joy Corsi, at 720-272-3904 or joy.corsi@gsa.gov if you have any questions or would like to offer additional information.

Performance Information: Please check the level of the Offeror’s overall performance in each of the areas listed below. Check “N” if the area does not apply to the contract being rated.

KEY: U - Unsatisfactory - Performance did not meet most contract requirements.

M - Marginal - Performance did not meet some contract requirements.

S - Satisfactory - Performance met all contract requirements.

VG - Very Good – Performance met all contract requirements and exceeded some.

E - Exceptional – Performance met all contract requirements and exceeded many.

1. QUALITY

Quality of application of DoD Information Assurance standards/policies. E VG S M U N

Ability to meet quality standards specified for technical performance. E VG S M U N

Effectiveness of contract problem resolution without extensive customer guidance. E VG S M U N

Effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE

Compliance with contract delivery schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U N

Rate the contractor’s use of available resources to accomplish tasks identified in the contract. E VG S M U N

3. CUSTOMER SATISFACTION

To what extent were the end users satisfied with the project? E VG S M U N

Contractor was reasonable and cooperative in dealing with your staff E VG S M U N

To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? E VG S M U N

Overall customer satisfaction. E VG S M U N

The degree to which the contractor fulfilled PWS task requirements. E VG S M U N

General Services Administration Federal Acquisition Services

Rocky Mountain Region 8

4. MANAGEMENT

Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? E VG S M U N

Ability to simultaneously manage multiple projects with multiple disciplines. E VG S M U N

Ability to incorporate changes in requirements E VG S M U N

Effectiveness of overall management E VG S M U N

5. SECURITY & INFORMATION ASSURANCE

Contractor complied with all security and information assurance requirements for the project and personnel security requirements. E VG S M U N

6. GENERAL

Compliance with contractual terms/provisions (explain if specific issues). E VG S M U N

1. Were claims filed during contract performance? YES NO

2. Were monetary reductions assessed? YES NO

3. Would you award to this contractor again?

4. Did this contractor receive and maintain Authority to Operate (ATO) on a DoD network?

YES NO

Additional Remarks: Provide facts concerning specific events/actions to justify rating. Attach additional pages if necessary.

Reference Name Reference Signature

YES

NO YES