J-4 Past Performance Questionnaire.pdf

Solicitation N40027-24-R-1001

Attachment J-4 Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE COVER SHEET

NOTE TO OFFEROR: Submit this cover sheet with your proposal and provide copy to your customer evaluator. Ensure the correct phone number and email address are provided for the customer point of contact.

1. OFFEROR AND RFP NUMBER:

2. CONTRACT NUMBER BEING EVALUATED:

3. CUSTOMER EVALUATOR’S CONTACT INFORMATION:

a. NAME & TITLE:

b. PHONE NUMBER:

c. FAX NUMBER:

d. EMAIL ADDRESS:

PAST PERFORMANCE QUESTIONNAIRE TO BE COMPLETED BY

CUSTOMER

When Filled In This Document is Source Selection Sensitive IAW FAR 2.101 and 3.104

SEND COMPLETED QUESTIONNAIRE TO THE GOVERNMENT BY EMAIL TO:

SERMC_C4231_CNO_DDG1@us.navy.mil

WHAT WAS YOUR ROLE ON THIS CONTRACT? PLEASE

DESCRIBE:___________________________________________________________________

PROVIDE A DETAILED PROJECT DESCRIPTION. INCLUDE MAJOR WORK

ITEMS:_____________________________

CONTRACT/TASK ORDER AMOUNT: ________________________________________

PERFORMANCE PERIOD: ___________________________________________________

DID THE CONTRACTOR FUNCTION AS PRIME CONTRACTOR?________________

PERFORMANCE INFORMATION:

Chose an adjectival rating from the below chart that most accurately describes the contractor’s performance.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF

UNSATISFACTORY OR MARGINAL.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

E (EXCEPTIONAL) – Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG (VERY GOOD) – Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S (SATISFACTORY) – Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective action taken by the contractor appear or were satisfactory.

M (MARGINAL) –Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

U (UNSATISFACTORY) – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N (NEUTRAL) – No relevant past performance record is identifiable upon which to base a meaningful performance risk prediction. A search was unable to identify any relevant past performance information for the contractor or their key personnel. (This is neither a negative nor positive assessment.)

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

THE CONTRACTOR:

1. Provided experienced managers and supervisors with the technical and administrative abilities to meet the contract requirements.

E VG S M U N

2. Followed the approved quality control plan. E VG S M U N

3. Provided effective quality control and/or inspection procedures to meet contract requirements.

E VG S M U N

4. Corrected deficiencies in timely manner and pursuant to their quality control procedures. E VG S M U N

5. Provided timely resolution of contract discrepancies and/or changes minimizing impact to schedule.

E VG S M U N

6. Identified problems as they occurred. E VG S M U N

7. Suggested alternative approaches to problems. E VG S M U N

8. Developed realistic schedules. E VG S M U N

9. Met established schedules. E VG S M U N

10. Provided timely resolution of warranty defects. E VG S M U N

11. Was responsive to contract changes. E VG S M U N

12. Provided adequate project supervision. E VG S M U N

13. Cooperated with customer after award. E VG S M U N

14. Was responsive regarding safety issues that arose during the contract.

E VG S M U N

15. Complied with safety regulations. E VG S M U N

16. Submitted accurate reports. E VG S M U N

17. Did not require customer assistance to resolve technical issues. E VG S M U N

18. Timely submitted required reports.

E VG S M U N

NARRATIVE QUESTIONS:

1. Was the contractor ever issued a cure or show cause notice under this contract? If yes, explain in Block 5. YES/ NO

2. Would you award another contract to this contractor? YES/NO

3. Is this contract rated in CPARS/PPIRS? YES/NO

4. COMMENTS RELATING TO TECHNICAL: Were you satisfied with the overall quality of work performed by the contractor? Specify any warranty issues. Please provide specific examples:

5. COMMENTS RELATING TO SCHEDULE: Were you satisfied with the contractor’s performance on schedule? Please provide specific examples. Explain any cure or show cause notice issued.

6. COMMENTS RELATING TO MANAGEMENT: Were you satisfied with the management team? Please provide specific examples.