Attachment_5_PPQ_05JUN2015.doc

M67854-15-R-9500

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE

Technology Services Organization Information Technology Support Services

1. GENERAL INSTRUCTIONS:

This information, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 and shall not be disclosed to anyone outside the Government Source Selection Team.

Sections 1 through 4 are to be completed by the assessor. The assessor is to submit the completed questionnaire to the Contracting Officer.

Upon completion of this questionnaire, please forward it electronically to Nichole.WycheSeawood@usmc.mil or return it directly to the Government at the following address:

OUTSIDE ENVELOPE: Commander, MARCORSYSCOM

Attn: PM ACSS: Ms. Nichole Wyche-Seawood

2200 Lester Street Quantico, VA 22134

INNER ENVELOPE: RFP M67854-15-R-9500; PAST PERFORMANCE SOURCE

SELECTION INFORMATION

2. DESCRIPTION OF THE CURRENT SOLICITATION:

This solicitation is for knowledge-based information technology support services. The TSO has a requirement for support services for the software development and maintenance of highly complex, government designed and owned, enterprise-class business systems.

3. INFORMATION ABOUT YOUR CONTRACT AND YOUR ADMINISTRATIVE ROLE:

a. Contractor:

b. Contract Number:

c. Contract Type (Firm Fixed Price; Cost Reimbursement; T&M):

d. Original Contract Value:

e. Current Contract Value:

f. Work Performed (please describe those scopes which were included in your contract):

g. Was this contract competitively awarded? Yes _____ No_____

h. Was this a follow-on contract? Yes _____ No _____

i. Period of Performance:

j. Place of Performance:

k. Your Title (e.g. PCO, ACO, COR, etc) and period of involvement with the contract:

Title

Period of Involvement

4. EVALUATION:

1. Quality of Service, Documents, Presentations, and Related Deliverables.

FORMCHECKBOX

N/A

Comments:

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

2. Effectiveness of Program Management and Control.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

3. Timeliness of Performance for Services and Product Deliverables.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

4. Subcontractor Management

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

5. Quality of Service and Technical Products

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

6. Customer Satisfaction - Business/Contracting Relations.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

7. Customer Satisfaction – Performance of Final Technical Products

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

8. Customer Satisfaction - Interaction with Govt Staff and Flexibility.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

9. Overall Satisfaction.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

10. What do you believe are the company's strengths?

11. What do you believe are the company's weaknesses?

12. Has the provided information above been previously shared with the Contractor ?

FORMCHECKBOX

YES

FORMCHECKBOX

NO

Other Comments.

………………………………………………UNCLASSIFIED………………………………………

DISTRIBUTION A: Approved for public release, distribution is unlimited.

………………………………………………UNCLASSIFIED………………………………………

DISTRIBUTION A: Approved for public release, distribution is unlimited.