16R1103_RFP_Attachment_04.pdf

M67854-16-R-1103

Attachment 04

PAST PERFORMANCE QUESTIONNAIRE

Marine Corps Systems Command (MARCORSYSCOM) is conducting a source selection evaluation in support of the Inclement Weather Combat Shirt (IWCS) procurement. As part of the source selection process, potential contractors’ past performance is being evaluated. As such, each Offeror is required to provide past performance information as part of their proposal.

To this end, THE OFFEROR has chosen you as a reference, and, by providing you this questionnaire, has asked that you fill out the related information and submit BACK TO THE RESPECTIVE OFFEROR in a timely manner.

Once received, the OFFEROR shall submit this questionnaire as part of a solicitation package to the Government for consideration in support of the IWCS procurement.

Of note, MARCORSYSCOM personnel may contact you to verify and/or discuss your answers to the below questions.

MARCORSYSCOM greatly appreciates your time and effort in completing the attached questionnaire. Your care on this questionnaire is a small but important part of the process that ultimately determines the quality and effectiveness of the equipment your Marines will rely upon when going into harm’s way.

Thank you for your support in this endeavor!

Contracting Office

Product Manager – Infantry Combat Equipment

Program Manager Marine - 113

Marine Corps Systems Command

Quantico, Virginia

INSTRUCTIONS:

1. Please provide your contact information.

(a) Name of Questionnaire Participant: ________________________________________

(b) Company Represented:__________________________________________________

(c) Physical Company Address: _____________________________________________

(d) Email Address of Questionnaire Participant: _________________________________

(e) Phone Number of Questionnaire Participant: ________________________________

2. What is the contract number in question by which work was performed?

3. What was the nature of the contract in terms of scope? At a minimum, please briefly address the “who,” what,” “when,”

“where,” “why”, and “how much” questions when discussing scope of the respective contract being commented on in this survey.

4. What was the period of performance for the contract?

5. What was the total dollar amount associated with the contract? ________________

Please provide a rating for each category. Also, if you wish, please comment freely in the spaces provided. Both favorable and unfavorable comments are welcome. If you wish to attach an addendum page(s) for comments, please feel free to do so. Please refer to the following website should you have questions concerning the rating definitions:

CPARS Policy Guide Jun2011:

http://www.cpars.gov/cparsfiles/pdfs/DoD-CPARS-Guide.pdf

CPARS User Manual May2012: http://www.cpars.gov/cparsfiles/pdfs/CPARS_User_Manual.pdf

Quality of Products

N/A Comments:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Schedule

Exceptional

Very Good

Satisfactory

Cost Controls

Exceptional

Very Good

Satisfactory

Business Relations

Exceptional

Very Good

Satisfactory

Management of Key Personnel

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory http://www.cpars.gov/cparsfiles/pdfs/DoD-CPARS-Guide.pdf http://www.cpars.gov/cparsfiles/pdfs/CPARS_User_Manual.pdf

Small Business Involvement

Not applicable to this past performance survey and the IWCS procurement, per Federal

Acquisition Regulation 19.1202-2.

Exceptional

Very Good

Satisfactory

Other/General

Exceptional

Very Good

Satisfactory