J16 - Past Performance Questionnaire.pdf

M67854-17-R-7820 Attachment J.16

PAST PERFORMANCE QUESTIONNAIRE

MCTOG RFP No. M67854-17-R-7820

Please complete this questionnaire and send by email to the attention of

Jaime Morrison at jaime.morrison@usmc.mil.

Required Response Date: No later than 2:00 p.m. EST 21 April 2017

When completed, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C.

423) and shall be protected accordingly.

1.0 TO BE COMPLETED BY OFFEROR

1. A. NAME & ADDRESS OF CONTRACTOR

BEING EVALUATED:

B. CONTRACTOR BEING EVALUATED

PERFORMED AS PRIME CONTRACTOR,

SUB-CONTRACTOR OR KEY

PERSONNEL FOR CONTRACT IN #3?

C. IF B WAS OTHER THAN PRIME

CONTRACTOR, NAME & ADDRESS

OF PRIME CONTRACTOR FOR

CONTRACT IN #3:

2. CAGE CODE OF CONTRACTOR BEING

EVALUATED:

3. CONTRACT NO.

4. CONTRACT INITIATION DATE:

5. COMPLETION DATE:

6. CONTRACT TYPE:

7. INITIAL CONTRACT PRICE:

8. CURRENT CONTRACT VALUE:

9. PERIOD OF PERFORMANCE:

10. DESCRIPTION OF CONTRACT REQUIREMENTS (Please add a continuation page if additional space is necessary):

2.0 TO BE COMPLETED BY EVALUATING ORGANIZATION / REPRESENTATIVE

11. EVALUATOR INFORMATION:

a) Evaluator’s name, position, and organization:

b) Evaluator’s phone number and email address:

c) Months of performance monitored by evaluator:

12. EVALUATION:

Please circle the response code for each topic (A – H) that best reflects your experience with this contractor.

O = Outstanding G = Good S = Satisfactory M = Marginal U = Unsatisfactory N/O = Not Observed

A. Technical Understanding – Assess the contractor’s ability to fulfill the technical requirements of the contract

O G S M U N/O

B. Technical Performance- Assess the quality of the products or services, documents and deliverables provided by the contractor in relation to contract requirements.

C. Program Management- Assess the contractor’s effectiveness of Program Management and Control.

D. Program Management- Assess the effectiveness of the contractor’s Subcontractor Management.

E. Program Management- Assess the contractor’s ability to hire, retain and/or replace personnel.

F. Program Management – Rate your satisfaction with the contractor during contract performance, the final product and any required post-delivery support (e.g., responsiveness to customer concerns, cooperation with customer, effectiveness of subcontract management, effectiveness of contractor logistical support, etc.).

G. Schedule – Assess the timeliness and flexibility of the contractor against the schedule and changes.

H. Schedule – Assess the ability of the contractor to correct program slippage when it occurred.

I. Retention – Assess the ability of the contractor to retain qualified personnel.

J. Overall Assessment

3.0 TO BE COMPLETED BY EVALUATING ORGANIZATION / REPRESENTATIVE

13. ADDITIONAL COMMENTS:

A. CONTRACT IDENTIFICATION

1. Was this a competitive contract? Yes ____ No __ _

2. Reason(s) for difference between initial contract price and current/final contract price, if any:

3. The information provided has been previously shared with the Contractor? Yes ___ No __ _

B. RESPONDENT INFORMATION:

1. Name:

2. Title:

3. Telephone Number:

4. FAX Number:

5. Email Address: