Attachment_J.6__Past_Performance_Questionnaire.docx

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Supporting Arms Virtual Trainer (SAVT)
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M67854-17-R-7823
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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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