Attachment_J.6__Past_Performance_Questionnaire.docx
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- Attached to
- Supporting Arms Virtual Trainer (SAVT)
- Solicitation number
- M67854-17-R-7823
- Issued by
-
United States Marine Corps
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Past Performance Questionnaire
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M67854-17-R-7823 Attachment J.6
PAST PERFORMANCE QUESTIONNAIRE
RFP No. M67854-17-R-7823
Please complete this questionnaire and send by email to the attention of Reginald Caldwell at reginald.caldwell@usmc.mil.
Required Response Date: No later than 2:00 p.m., 27 Sept 2017
When completed, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
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):
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 services, documents and deliverables provided by the contractor in relation to contract requirements.
O G S M U N/O
C. Schedule – Assess the timeliness and flexibility of the contractor against the schedule and changes.
O G S M U N/O
D. Schedule – Assess the ability of the contractor to correct program slippage when it occurred.
O G S M U N/O
E. Program Management- Assess the contractor’s effectiveness of Program Management and Control.
O G S M U N/O
F. Program Management- Assess the effectiveness of the contractor’s Subcontractor Management.
O G S M U N/O
G. Program Management- Assess the contractor’s ability to hire, retain and/or replace personnel.
O G S M U N/O
H. 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.).
O G S M U N/O
I. Overall Assessment
O G S M U N/O
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:
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