L-2_RIS_Past Performance Questionnaire (PPQ) MA PSM.docx

MID-ATLANTIC CVN PRIVATE SECTOR MAINTENANCE

SOLICITATION NO. N00024-22-R-4100

ATTACHMENT L-2

PAST PERFORMANCE QUESTIONNAIRE

Instructions to Offeror

SECTION A: PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Offeror):

NAME OF OFFEROR:

CONTRACT or ORDER NUMBER:

PROJECT TITLE:

PERIOD OF PERFORMANCE START DATE:

PERIOD OF PERFORMANCE END DATE (including options):

CUSTOMER POINT OF CONTACT NAME:

POINT OF CONTACT TITLE:

POINT OF CONTACT TELEPHONE:

POINT OF CONTACT MAILING ADDRESS:

POINT OF CONTACT EMAIL:

TYPE OF CONTRACT: (CPFF, CPIF, CPAF, FFP, ETC.):

AMOUNT OF CONTRACT ($USD):

DESCRIPTION OF SUPPLIES / SERVICES (Provide reason if terminated):

Instructions to Evaluator The Naval Sea Systems Command is procuring capability and capacity to the Ships’ Force for effective support of maintenance, repair and modernization efforts for the CVN 68 and CVN 78 Class Aircraft Carriers. Ships Terminal Offload Program (STOP) and inactivation tasks are included for CVN 68 and CVN 69. Evaluation of an Offeror’s past performance is integral to our source selection process. Accordingly, we request your candid assessment of the Offeror’s past performance; please see Section below for the identity of the Offeror and contract of interest.

Once completed, this questionnaire and any appended information becomes Source Selection Sensitive and must be protected from disclosure. Access to this information shall be limited to Government procurement officials.

Please forward the completed questionnaire no later than 26 MAY 2023 to:

Hand-written evaluations are acceptable. All evaluations must relate solely to the Offeror and the contract, task, or order identified in SECTION A.

For each of the criteria listed below, the evaluator must choose One (1) Adjectival Rating by checking the box (double-clicking the box), as applicable. Please provide supporting comments for each rating. Please use your supporting comments to highlight the Offeror’s specific strengths and weaknesses. You may use additional sheets if required. Your ratings and comments should reflect only “contractor liable” performance. You may supplement your knowledge with the knowledge and judgment of others in your organization.

Please enter the requested information in SECTION B for the person primarily responsible for completing the questionnaire, then transmit the completed questionnaire to the point of contact identified above. Thank you for your assistance in this matter.

PLEASE DO NOT PROVIDE COMPLETED QUESTIONNAIRES TO THE OFFEROR

Section B: PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Evaluator):

NAME:

TITLE:

AGENCY/CUSTOMER ORGANIZATION:

PHONE:

E-MAIL

Signature:

1. Overall Contract Outcome Ability to satisfactorily complete all tasks while conforming to customer requirements, standards of good workmanship and safe practices.

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.

SUBSTANTIATING COMMENTS:

2. Cost Performance Ability to accurately forecast and control costs throughout all phases of the contract.

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

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

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

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.

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.

3. Schedule Performance Ability to develop accurate work schedules and adhere to those schedules as well as the ability to adapt to changes in requirements and work schedules.

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

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

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

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.

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. Technical Performance Ability to overcome technical challenges by applying sound engineering principles, complete required engineering analyses, and develop adequate technical reports and plans.

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

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

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

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.

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.

5. Customer Relations Degree of customer satisfaction based on the contractor's cooperative behavior, general business-like concern for the interest of the customer, and customer orientated management practices.

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

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

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

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.

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.

6. Small, Small Disadvantaged, and Women-Owned Business Utilization Compliance with subcontracting plan goals for Small, Small Disadvantaged, and Women-owned business concerns and monetary targets for such concerns.

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

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

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

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.

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.

Source Selection Information – See FAR 2.101 and 3.104