N00024-14-R-2406_Amend_0003_Att_B.docx

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Landing Craft, Air Cushion (LCAC) Service Life Extension Program (SLEP)
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N0002414R2406
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N00024-14-R-2406 Amendment 0003 Attachment B

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ADDENDUM L-4

N00024-14-R-2406

PAST PERFORMANCE QUESTIONNAIRE

CONTRACTOR:

CONTRACT NUMBER:

CONTRACT TYPE:

CURRENT CONTRACT VALUE:

NATURE OF EFFORT:

PERIOD OF PERFORMANCE:

PLACE OF PERFORMANCE:

Please complete the questionnaire as a coordinated effort for the Contracting Officer. For the first 6 questions, choose the number on the scale of 1 to 5, which most accurately describes the Contractor’s performance on the contract listed above. A “5” represents superior performance, and “1” indicates unacceptable performance. If the question is not applicable, circle “N/A.” Please add any comments and information that may help to determine the Contractor’s probable performance.

1.
Evaluate the Contractor’s adherence to proposed task schedules.
1 2 3 4 5 N/A
2.
How well did the Contractor demonstrate the ability to overcome program, technical, or schedule difficulties?
1 2 3 4 5 N/A
3.
Evaluate the stability of the Contractor’s work force.
1 2 3 4 5 N/A
4.
How well did the Contractor exercise management control over his own personnel?
1 2 3 4 5 N/A
5.
If the Contractor used subcontractor(s), how well did the Contractor exercise management control over the subcontractor(s)?
1 2 3 4 5 N/A
6.
Evaluate the Contractor’s environmental and safety compliance record.
1 2 3 4 5 N/A
7.
Was the Contractor cooperative in negotiations and in resolving issues?
YES
NO
8.
Have there been any terminations of tasks due to inability to meet technical requirements, delivery schedules, or cost predictions? If so, how many?
YES
NO
9.
Would you award similar contracts to the Contractor in the future?
YES
NO
10.
What role did you play (e.g., COR, Contract Specialist, ACO)?

How long were you in this role?

NAME (Printed)/Phone

SIGNATURE

DATE

Comments:

Please return this form to:

Ms. Linda C. Squires, SEA 02242, Contracting Officer E-mail: linda.squires@navy.mil

Attachment “B” to Amendment 0003

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