Attachment_(4)_Past_Performance_Questionnaire_20180307.docx

ATTACHMENT (5) PAST PERFORMANCE QUESTIONNAIRE – 7 MAR 2018

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on Department of Navy/United States Marine Corps (USMC) solicitation, M67854-18-R-1313, to provide the Gunner’s Primary Sight Lower Panel (GPSLP) that will meet the mission needs of the Marine Corps. Past Performance is an important part of the evaluation criteria for this acquisition. Your assistance is requested by the USMC to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to the Contract Specialist and Contracting Officer listed below. Please provide an honest assessment.

Commander Marine Corps Systems Command Attn: Brian Lewis, Contract Specialist Code: PMM-142.1 CT 2.1 2200 Lester Street Quantico, VA 22134 Phone: 703-432-3768 Email: brian.lewis1@usmc.mil Copy to: lynn.frazier@usmc.mil

When complete, the information on this form is Source Selection Sensitive (41 USC 423); SAFEGUARD.

COMMENTS MUST BE PROVIDED FOR THIS DATA TO BE UTILIZED

Contract Award Date:

Completion Date:

Contract Value:

Type of Contract:

Evaluator Name/Title/Phone:

Description of Contract Requirements:

PART TWO: EVALUATION

1. Recency (Is the contract within the past 36 months)?

|_| YES

|_| NO

2. Relevancy (Check the block that describes the contract):

|_| Product (End Item) Performance on Hand Controls integrated into a ground combat vehicle or aviation vehicle with test data from production or production representative end items.

|_| Integration Performance of Hand Controls on a ground combat vehicle or aviation vehicle with a significant amount of interaction between the contractor and his subcontractors, suppliers, or associate contractors.

|_| Manufacturing Performance on Hand Controls for ground combat vehicles or aviation vehicle.

|_| Other.

Explain._________________________________________________________

A. Product Performance

A1. The contractor demonstrated the development of system/subsystems that met the required system performance specifications.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

A2. The contractor demonstrated that all systems/subsystems were fully qualified and ready for intended use prior to delivery to the Government.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

A3. The contractor demonstrated that warranty or contractor logistics support repairs were timely.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

A4. The contractor substantiated reduction of occurrences of engineering changes, rework activity, requests for waivers/deviations, and material review board actions.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

B. Combat Vehicle Integration Performance

B1. The contractor demonstrated the ability to work effectively as the prime contractor and/or integration team member. This experience should include working with other prime contractors, subcontractors, weapon program management activities (PMAs)/System Program Offices (SPOs).

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

B2. The contractor demonstrated the ability to successfully integrate a system/subsystem on a combat vehicle.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

C. Program Management and Control

C1. The contractor demonstrated the ability to control cost.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

C2. The contractor demonstrated the ability to deliver product or deliverables on schedule.

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

D. Overall Satisfaction

|_| N/A Comments:

|_| Outstanding |_| Exceeded Expectation |_| Met Expectations |_| Unsatisfactory

General Comments:

Has the information provided been shared with the Contractor?

|_| YES

|_| NO

PART THREE: CERTIFICATION

As the evaluator of this Past Performance Questionnaire, I hereby certify that the information in this form is accurate and complete to the best of my knowledge.

Printed Name: ____________________________

Title: ____________________________________

Signature: ________________________________

Date: __________________