Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

Message to the assessor: Your assistance is requested by the U.S. Marine Corps, Camp Pendleton Regional Contracting Office to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to david.stemple@usmc.mil .

I. Solicitation Data (for the proposed effort)

Solicitation Number Project/Requirement Customer/Agency Project/Requirement Description

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is correct or incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract No

Type of Contract Service Initial Final

Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role PRIME SUBCONTRACTOR

Termination History Convenience Default N/A

III. Assessor Information

Assessor Name

Title Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

Role Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

V. Performance Evaluation

1. Technical Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements of your contract?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A Technical Performance

Please provide rationale for the assigned rating.

2. Schedule Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the schedule?

Please provide rationale for assigned rating.

b. Assess the Contractor’s schedule performance in the following areas.

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Work completed on time.

The Contractor’s ability to resolve

Problems

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

3. Management

a. What is your OVERALL assessment of the Contractor’s management performance?

Management

b. Assess the Contractor’s management performance in the following areas.

Management Exceptional Very Good

Satisfactory Marginal Unsatisfactory N/A

MANAGEMENT

RESPONSIVENESS—

Timeliness, completeness, and quality of problem identification, history of cooperative behavior, effective business relations, teamwork AND Customer satisfaction.

SUBCONTRACT

MANAGEMENT—Timely award and management of subcontracts and meeting subcontracting goals for small business, small disadvantaged business, etc.

All comments are appreciated; however, at a minimum, rationale must be provided for ratings of exceptional or unsatisfactory.

4. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Cost Control

VI. Overall Rating of Contractor’s performance (technical, schedule, management, and cost) on contract being assessed.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. General Comments:

Assessor’s Signature Date