L-1 Vol 2 PPQ.docx

SECTION L – VOLUME 2

PAST PERFORMANCE QUESTIONNAIRE

Within 2 weeks from receipt of this questionnaire return this form to Duane Drury (duane.p.drury.civ@us.navy.mil), Contract Specialist and David Kors (david.a.kors.civ@us.navy.mil), Procuring Contracting Officer.

Completion Instructions – The contractor shall complete Section 1. The respondent shall complete all other sections.

1. CONTRACTOR IDENTIFICATION

a. Contractor:

b. Program Title:

c. Contract Number / Delivery Order Number:

d. Type of Contract: Percent Complete:

e. Period of Performance being assessed: _________________________________________________

f. Offeror Role in Past Performance Contract (Prime Contractor / Subcontractor / JV Team Member): __________________________________________________________________________________

g. Offeror proposed role for Solicitation (Prime Contractor / Subcontractor / JV Team Member): __________________________________________________________________________________

h. CAGE Code: _____________________________________________________________________

i. UEI Code: ________________________________________________________________________

2. RESPONDENT IDENTIFICATION

a. Name:

b. Agency:

c. Position:

d. Relation to Program:

e. Phone:

f. Email Address:

g. Date Questionnaire Completed:

3. PROGRAM CHARACTERISTICS

a. Please provide a short description of the subject contract.

4. PERFORMANCE LEVELS

4.1 PERFORMANCE GRADES (Use these grades to provide the overall rating where requested below).

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.

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.

Satisfactory - Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

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

4.2 QUESTIONS

4.2.1. Quality of Product or Service

Quality: (How would you rate the Offeror’s past performance in the delivery of quality supplies and services, which includes meeting technical requirements?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Provide examples that substantiate rating:

4.2.2. Schedule

Schedule: (How would you rate the Offeror’s past performance in meeting schedule requirements, to include on-time or late deliveries, modifications of original schedules?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4.2.3 Program Management and Subcontract Management

Program Management and Subcontract Management: (How would you rate the Offeror’s past performance in managing the contracted effort, to include program management, subcontract management, and cooperation with the customer?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4.2.4 Utilization of Small Business

Utilization of Small Business: (How would you rate the Offeror’s past performance in utilization of small business entities in performance of the contract reference?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4.3 SUMMARY: Given what I know today about the contractor's ability to execute the contract requirements, I WOULD or WOULD NOT award to the contractor today given that I had a choice.

Signature _____________________________________________ Date _____________

Please note that electronic signatures are acceptable. Signatures (electronic or hand written) verify that the signator completed this form and agrees with the information contained within it.