Attachment_4_Past_Performance_Questionnaire.pdf

RFP M67854-13-R-1040

Attachment 2: Past Performance Questionnaire

Instructions:

Sections I through III to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel who had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

Sections III through VII to be completed in their entirety by the assessor.

Message to the assessor: Your assistance is requested by the USMC 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:

kathryn.hurd@usmc.mil and copy lawrence.hubbard@usmc.mil or fax to 703-432-5711.

I. Solicitation Data (for the proposed effort)

Solicitation Number M67854-13-R-1040

Project/Requirement Ocular Interruption System

Customer/Agency MARCORSYSCOM PMM113 IWS PdM NLS

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

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 mailto:kathryn.hurd@usmc.mil mailto:lawrence.hubbard@usmc.mil

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. Quality of Performance

a. What is your OVERALL assessment of the quality of the contractor’s performance?

Exceptional Very Good

Satisfactory Marginal Unsatisfactory N/A

Quality of Performance

Please provide rationale for the assigned rating.

b. Assess the Contractor’s quality of performance in the following areas.

Good

Satisfactory Marginal Unsatisfactory N/A

Conformance to Contract Requirements

Conformance to Specifications

Standards of

Workmanship (technical, professional, environmental safety, etc.)

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

c. Did the Government contribute in any way to problems associated with quality as identified in the above assessment? Please explain.

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

Timeliness in Completion of Contract/Task Order/Delivery

Timeliness in Meeting Milestones

Timeliness in Submitting Deliverables

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

Exceptional

Very Good

Satisfactory Marginal Unsatisfactory N/A

c. Did the Government contribute in any way to any of the Schedule problems identified in the above assessment? Please explain.

3. Management Performance

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

Satisfactory Marginal Unsatisfactory N/A

Management

Please provide rationale for assigned rating.

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, proposal submittal, 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)

PROGRAM

(effectiveness of integration and coordination of all activities required to execute the contract, use of resources, assignment of responsibility, internal coordination and communication, and risk management practices)

MANAGEMENT OF

PERSONNEL—(ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the Government’s requirements within schedule and budget)

INTEGRATED

PRODUCT TEAM

(commitment and participation to the IPT process)

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

c. Did the Government contribute in any way to any of the management problems identified in the above assessment? Please explain.

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

Exceptional Very Good Satisfactory Marginal Unsatisfactory

VII. General Comments:

Assessor’s Signature Date