Att_14_-_Past_Performance_Questionnaire.doc
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- Attached to
- Enhanced Combat Helmet (ECH)
- Solicitation number
- M67854-16-R-1122
- Issued by
-
United States Marine Corps
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(Document Originally Uploaded 15 September 2016) Past Performance Questionnaire
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M67854-16-R-1122 Attachment J.14
PAST PERFORMANCE QUESTIONNAIRE
SECTION I: TO BE COMPLETED BY THE OFFEROR
Company Name:
Contract Number:
Contract Period of Performance:
Total Contract Value:
Contract Type:
Description of Contract Requirements:
Procuring Contracting Officer (PCO):
Name:
Email:
Phone:
Contracting Officer Representative (COR)/Technical Representative):
Name:
Email:
Phone:
Administrative Contracting Officer (ACO):
Name:
Email:
Phone:
SECTION II: TO BE COMPLETED BY CUSTOMER AGENCY
Organization Name:
Evaluator Name and Title:
Evaluator Signature:
Evaluator Phone Number and Email:
SECTION III: INSTRUCTIONS FOR CUSTOMER AGENCY COMPLETION OF PAST PERFORMANCE QUESTIONNAIRE:
The company that has sent you this form is responding to a Marine Corps Systems Command solicitation for Enhanced Combat Helmets. Your assistance is requested in providing input on the past performance of the offeror on the contract identified in Section I. Please complete the attached questionnaire using the following guidance and email it to kathyrn.hurd@usmc.mil prior to the closing of the solicitation. Questions may be addressed to Ms. Hurd via email or by phone at (703) 432-3087.
Indicate, the company’s performance on the identified contract using the evaluation ratings and definitions below. Handwritten responses are sufficient. Assessments will be used in the potential award of a defense contract. If you do not have the appropriate knowledge of or experience with the company, please forward this questionnaire to the appropriate person.
| Exceptional |
| Performance met contractual requirements and exceeded many requirements to the Government’s benefit. Contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance met contractual requirements and exceeded some to the Government’s benefit. Contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance met contractual requirements. Contractual performance included some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal |
| Performance did not meet some contractual requirements. Contractual performance contained serious problem(s) for which the contractor’s corrective actions appeared only marginally effective or were not fully implemented. |
| Unsatisfactory |
| Performance did not meet most contractual requirements and recovery did not occur in a timely manner. Contractual performance contained serious problem(s) and corrective actions were ineffective. |
| N/A (Not Applicable) |
| Respondent has no personal knowledge. |
In Section IV, please mark the box under the letter corresponding to your rating, or mark “N/A” if you are unable to provide a rating for an area. Please provide narrative explanations for your answers. Space for your narrative remarks is provided after each area. If more space is required, attach additional sheets.
Section IV: PAST PERFORMANCE EVALUATION (To be completed by the Customer Agency) Quality of Product - Conformance with requirements and overall quality
| N/A |
| Comments: |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Schedule - Ability to meet contractual delivery schedule
| N/A |
| Comments: |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Cost Control
| N/A |
| Comments: |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Business Relations - Resolution of problems with minimal disruption, responsiveness to customer requests
| N/A |
| Comments: |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Small Business Involvement -Ability to meet small business goals
| N/A |
| Comments: |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
SECTION V: GENERAL INFORMATION
1. Was a Show Cause letter or Cure Notice ever issued on this contract? ___Yes ___No.
If yes, please describe the circumstances and resolution if not already discussed above.
2. Would you recommend this contractor for similar Government contracts? _____Yes _____No. If no, why not?
3. Have Contractor Performance Assessment Reporting System (CPARS) reports been submitted for this particular contract? _____Yes _____No
Attachment 6 Past Performance Questionnaire Source Selection Information—See FAR 2.101 and 3.104
FOR OFFICIAL USE ONLY
File details come from the government source that posted it. Updated .