Attch_L2_Past_Performance_Questionnaire.docx

Attachment L-2

PAST PERFORMANCE QUESTIONNAIRE

Within 2 weeks from receipt of this questionnaire return this form to Ms. Brittany Reynolds, PCO, at Brittany.s.reynolds2@navy.mil thereby allowing the customer approximately 2 weeks to complete their response.

1. CONTRACTOR IDENTIFICATION

a. Contractor: ________________________________________

b. Program Title: __________________________________________

c. Contract Number: __________________________________________

f. Period of Performance: ______________________________

Note: Whether identified or not, if you have any knowledge of other contracts for the identified contractor, you are requested to complete a questionnaire for each contract or subcontract similar to this acquisition.

2. RESPONDENT IDENTIFICATION

a. Name: __________________________________________

b. Agency: __________________________________________

c. Position: __________________________________________

d. Relation to Program: __________________________________________

e. Phone/Fax Number/Email Address: ________________________________________

f. Date Questionnaire Completed: ___________________

3. PROGRAM CHARACTERISTICS

3a. Please provide a short description of the subject contract. Include the following: What type of work was performed? What were the primary responsibilities of the contractor? Summarize the contractual requirements.

4. PERFORMANCE LEVELS

4a. PERFORMANCE GRADES (Use these grades to provide the overall rating where requested below).

Exceptional - Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

4b. TECHNICAL AND QUALITY PERFORMANCE QUESTIONS

· What kind of technical performance problems or strengths were experienced by the contractor?

· What was the cause of these technical problems or strengths?

· To what extent have corrective actions been taken to correct problem(s) identified above and to what extent have the corrective actions been effective? Describe the progress made to date. Also explain to what extent the corrective actions addressed the root cause of the problem(s) and led to systemic improvement such that similar problems would not reoccur.

· Overall, the contractor's technical performance is rated (check one):

|_|Exceptional |_|Very Good |_|Satisfactory |_|Marginal |_|Unsatisfactory

4c. SCHEDULE PERFORMANCE

· What kinds of delivery/schedule problems or strengths were experienced by the contractor?

· What was the cause of these delivery/schedule problems or strengths?

· To what extent have corrective actions been taken to correct problem(s) identified above and to what extent have the corrective actions been effective? Describe the progress made to date. Also explain to what extent the corrective actions addressed the root cause of the problem(s) and if the actions led to systemic improvement such that similar problems would not reoccur.

· Overall, the contractor's delivery/schedule performance is rated (check one):

4d. COST PERFORMANCE

· What kinds of Cost problems or strengths were experienced by the contractor?

· If the contractor experienced an overrun please provide the percentage. _________

· What was the cause of these Cost problems or strengths?

· To what extent have corrective actions been taken to correct problem(s) identified above and to what extent have the corrective actions been effective? Describe the progress made to date. Also explain to what extent the corrective actions addressed the root cause of the problem(s) and led to systemic improvement such that similar problems would not reoccur.

· Overall, the contractor's Cost performance is rated (check one):

4e. MANAGEMENT

· What was the contractor’s record of timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, engineering change proposals, or other undefinitized contract actions), the contractor's history of reasonable and cooperative behavior, effective business relations, and customer satisfaction?

· What was the contractor’s success with timely award and management of subcontracts, including whether the contractor met or exceeded small business, small disadvantaged business, small business HUBZone, veteran-owned small business, service disabled veteran owned small business, women-owned small business participation and subcontracting goals?

· To what extent does the contractor discharge their responsibility for integration and coordination of all activity needed to execute the contract; identify and apply resources required to meet schedule requirements; assign responsibilities for tasks/actions required by contract; and communicate appropriate information to affected program elements in a timely manner?

· What were the contractor’s risk management practices, especially the ability to identify risks and formulate and implement risk mitigation plans?

· If applicable, identify and provide information on any other areas that are unique to the contract, or that cannot be captured elsewhere under the Management Assessment.

· If this contract contains a small business subcontracting goal, assess compliance with all terms and conditions in the contract relating to Small Business participation (including FAR 52.219-8, Utilization of Small Businesses and FAR 52.219-9, Small Business Subcontracting Plan (when required). Assess any small business participation goals which are stated separately in the contract Assess achievement on each individual goal stated within the contract or subcontracting plan including good faith effort if the goal was not achieved. Check one of the boxes below, noting however when applying the rating definitions for this assessment equate “small business goals” to requirements.

· Overall, the contractor's management performance is rated (check one):

4f. OTHER.

· Is there any other information regarding this acquisition that you think would be helpful to our evaluation? If so please explain. Examples of additional information that could be helpful to our evaluation include information on (1) problems or strengths with regard to key personnel and (2) the kind of business relationship problems or strengths with regard to management of subcontracts, cooperation with business partners/customers, customer satisfaction, etc.

4g. SUMMARY:

· If you had the option, knowing what you know today, would you (pick one), 1) definitely would not, 2) probably would not, 3) might, 4) might not, 5) probably would, 6) definitely would award this contract to this contractor, given the choice? Please explain.

Signature: ___________________________________ Date: ____________

Please note that electronic signatures are acceptable. An e-mail from the originator of this document will suffice. Signatures (electronic or hand written) verify that the signator completed this form and agrees with the information contained within it.