Attachment_2_-_Past_Performance_Questionnaire.doc

M67854-17-R-1200 Attachment 2

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-Multi Mission Parachute System (E-MMPS). 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 lucas.kinkade@usmc.mil prior to the closing of the solicitation. Questions may be addressed to Mr. Kinkade via email or by phone at (703) 432-3451.

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.

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

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Schedule - Ability to meet contractual delivery schedule

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Cost Control

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Business Relations - Resolution of problems with minimal disruption, responsiveness to customer requests

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Small Business Involvement -Ability to meet small business goals

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