PT2E_DSS_Past_Performance_Questionnaire.doc

Past Performance Questionnaire

Your assistance is requested by the United States Marine Corps to assist with establishing the performance history for the contractor named below. Please complete this questionnaire and submit to the following via email or FAX no later than 10 Jul 2014.

Contracts Office Attn: Jon Aaron and Sandra Ingram Camp Pendleton, CA 92055-5171

Phone 760-725-2295 Fax 760-725-2514

Email: jon.d.aaron@usmc.mil and sandra.ingram@usmc.mil Refer: M68909-14-Q-7651 When Complete, the information on this form is Source Selection Sensitive (41 USC 423); SAFEGUARD.

Contract Award Date:

Completion Date:

Contract Value:

Type of Contract:

Evaluator Name/Title/Phone:

Description of Contract Requirements:

Evaluation: Please provide brief comments on EACH area explaining your rating of the contractor’s performance.

Past Performance Ratings:

Not Applicable (N/A) – Performance information not recent or relevant and unable to provide assessment.

Outstanding – Performance exceeded MANY and met the other contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

Exceeds Expectations – Performance exceeded SOME and met most other contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

Meets Expectations – Performance MET all contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

Unsatisfactory – Performance DID NOT meet contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

A1. Quality of Products, Documents, Presentations, and Related Deliverables.

FORMCHECKBOX

N/A

Comments:

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B1. Effectiveness of Project Management and Control.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B2. Timeliness of Performance for Services and Product Deliverables.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B3. Quality of Support Staff and Key Personnel - Retention and Replacement.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C1. Customer Satisfaction - Business/Contracting Relations.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C2. Customer Satisfaction - Subcontracting Management and Attainment of Goals.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C3. Customer Satisfaction - Interaction with Government Staff and Flexibility.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

D1. Overall Satisfaction.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

General Comments:

The information provided has been previously shared with the Contractor -

YES

NO

Attachment (5)