Attachment_L-2_Present_and_Past_Performance_Questionnaire_23_Dec.doc

ATTACHMENT L-2

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or inquire send an email to the address below for an MS Word version. Responses will be treated as source selection sensitive information and will not be shared with anyone outside this Source Selection. Please submit the completed questionnaire by email to dtra.belvoir.j10.mbx.professionalservicessupport@mail.mil or via USPS to: Defense Threat Reduction Agency, Attn: DTRA Contracts (J4-COO) / Sara Toni, 8725 John J. Kingman Rd. Stop 6201, Fort Belvoir, VA 22060-6201

2. Explanation of codes:

CODE

PERFORMANCE LEVEL

E

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

V

VERY GOOD - Performance meets contractual requirements and exceeds some (requirements) to the Government's benefit. The contractual performance of 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 contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M

MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

U

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

N

NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following information and past performance assessment:

A. Contractor Name:

B. Contract Number________________________________________________________ C. Was the contractor a Prime or Sub: _________________________________________

- if Sub, who is/was Prime D. Period of Performance:

E. Negotiated price or cost at award (Prime Only):________________________________

F. Current estimated contract amount (Prime Only):_______________________________

G. Provide brief overview of product(s)/service(s) contractor provided:

If the response in Question 3B is Prime, proceed to Question 4

If the response in Question 3B is Subcontractor, proceed to Question 5

4. Prime Contractor Evaluation. Circle the appropriate letter/code for each item on the questionnaire and provide a brief narrative

4.1. Rate the contractor's ability to deliver at the agreed-to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, imposed schedule changes, etc.).

E

V

S

M

U

N

4.2. Rate the contractor's ability to successfully manage the contracted services/support in order to meet the mission requirements on time.

E

V

S

M

U

N

4.3. Is/Was there a Small Business subcontracting goals associated with this contract? If so, rate the contractors success in meeting the goal (what was the goal)?

E

V

S

M

U

N

4.4. Rate the contractor’s management of subcontractors.

S

M

U

N

4.5. Rate the contractor’s ability to hire and retain a quality workforce (to include subcontractors/teaming partners) to support this effort.

S

M

U

N

4.6. Rate the effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

E

V

S

M

U

N

4.7. Rate the contractor's responsiveness to providing replacement personnel. Was training provided and proper security clearances issued to ensure smooth transition of personnel?

E

V

S

M

U

N

4.8. How would you rate the sufficiency of contractor internal quality control or review systems in place from the onset of the contract?

E

V

S

M

U

N

4.9. Rate the contractor’s responsiveness/effectiveness in resolving difficulties of a technical, business, performance, and/or quality nature.

E

V

S

M

U

N

4.10. Rate the effectiveness of overall contract management (including the ability to effectively lead, manage and control the program).

E

V

S

M

U

N

4.11. Rate and describe the contractors performance in providing surge support or support for short-notice events.

E

V

S

M

U

N

4.12. Given the choice, would you award to this contractor again? If not, why?

Proceed to Question 6

5. Sub-Contractor Evaluation. Circle the appropriate letter/code for each item on the questionnaire and provide a brief narrative

5.1. Rate the sub-contractor interaction with the Prime Contractor.

S

M

U

N

5.2. Rate the sub-contractor interaction with the end-Customer.

S

M

U

N

5.3. What is your overall rating of the sub-contractor’s performance of assigned duties? Why?

E

V

S

M

U

N

5.4. Given the choice, would you consider this sub-contractor for award of other contracts as either a Prime or provide support as a sub-contractor? If not, why?

Proceed to Question 6

6. Please provide the name, title, address, phone number, and email address of the person completing this questionnaire.

Name:__________________________________________ Title: ___________________________________________ Address: _________________________________________ Phone No.: _______________________________________ Email: ___________________________________________

6. Please provide the name, title, address, phone number, and email address of anyone else we could/should send this questionnaire to?

Name:__________________________________________ Title: ___________________________________________ Address: _________________________________________ Phone No.: _______________________________________ Email: ___________________________________________

7. Thank you for your assistance in this source selection. If you have any questions, please contact us via email at dtra.belvoir.j10.mbx.professionalservicessupport@mail.mil.

HDTRA1-16-R-0011

Attachment L-2