Attachment 5 - Past Performance Questionnaire Survey.pdf

ATTACHMENT 5

SOLICITATION N00039-17-R-0019

PAST PERFORMANCE QUESTIONNAIRE / SURVEY

PAST PERFORMANCE

QUESTIONNAIRE

N00039-17-R-0019

Competition Sensitive [DATE] For Official Use Only Page 1 of 5

Space and Naval Warfare Systems Command SPAWAR CONTRACTS, 4301 PACIFIC HIGHWAY

SAN DIEGO, CA 92110-3127

FAX

TO: _________________________________________

AGENCY: _____________________________________

PHONE: ____________________EMAIL:_________________________________

INFORMATION REQUEST FOR PAST PERFORMANCE

This office is currently in the process of awarding a competitive contract. [CONTRACTOR NAME] has provided your name and organization as a reference regarding [CONTRACTOR’S NAME] record of past performance under Contract No. [CONTRACT NO.]. Specifically, we are looking for past performance information regarding the following areas:

a.) Quality of Product or Service - Conformance to contract requirements, specifications and standards of good workmanship, accuracy of reports, appropriateness of personnel, and technical excellence;

b.) Cost Control - Within budget, current accurate and complete billings, actual cost/rates reflect closely to negotiated cost/rates, cost efficiency measures, adequate budgetary internal controls;

c.) Schedule - Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction, completed on time, including wrap-up and contract administration, no liquidated damages assessed;

d.) Business Relationships - Effective management, businesslike correspondence, responsive to contract requirements, prompt notification of problems, reasonable/cooperative behavior, flexible, proactive, effective Contractor recommended solutions, timely award and management of subcontracts, effective small/small disadvantaged business subcontracting program;

e.) Customer Satisfaction - Satisfaction of end users with the Contractor’s service.

f.) Repair Cost and Turn-around Time - Identify the number of warranty items returned during the performance of the contract reference, the lowest to highest range of cost incurred to return operational units of the contract reference, and the lowest to highest range of time (in calendar days) incurred to return operational units of the contract reference. Provide the same information on repair cost and return time for operational units not under warranty.

In order for our team to compile its evaluation, we request that you complete the attached survey form and email it, and any other pertinent information, within ten (10) working days. Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

QUESTIONAIRE

N00039-17-R-0019

For Official Use Only Page 2 of 5

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: DELIVERY ORDER NO.:

GOVERNMENT TECHNICAL REPRESENTATIVE:

Name (print) Code Phone

Please read the statements below, indicating your relative level of agreement in the box provided:

ACCEPTABLE UNACCEPTABLE

a.) QUALITY OF PRODUCT OR SERVICE:

(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship

(2) The Contractor submitted accurate reports.

(3) The Contractor utilized personnel that were appropriate to the effort performed.

b.) COST CONTROL:

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Contractor demonstrated cost efficiencies in performing the required effort.

(4) The actual costs/rates realized closely reflected the negotiated costs/rates.

QUESTIONAIRE

Competition Sensitive For Official Use Only

N00039-17-R-0019

[DATE]

ACCEPTABLE UNACCEPTABLE

c.) SCHEDULE:

(1) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

(2) The Contractor was responsive to technical and/or contractual direction.

d.) BUSINESS RELATIONSHIPS:

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor maintained an open line of communication so that the COR and/or Technical Point of Contact were apprised of technical, cost, and schedule issues.

(3) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

(4) The Contractor promptly notified the Contracting Officer’s Representative, Technical Point of Contact, and/or Contracting Officer in a timely manner regarding urgent issues.

(5) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

(7) The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.

e.) CUSTOMER SATISFACTION:

(1) The products/services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or the Technical Point of Contact.

(3) I am satisfied with the performance of the Contractor under this effort.

f.) REPAIR COST AND TURN-AROUND TIME:

(1) The number of warranty and non-warranty products returned during the performance of the contract.

(2) The shortest time to return warranty & non-warranty products met the needs of the program.

(3) The longest time to return warranty & non-warranty products met the needs of the program.

(4) The Government cost incurred to return warranty & non-warranty products met the needs of the program.

(5) The vendor cost incurred to return warranty & non-warranty products met the needs of the program.

(6) The Contractor was able to perform with minimal or no direction from the COR or the Technical Point of Contact.

(7) I am satisfied with the performance of the Contractor under this effort.

N00039-17-R-0019

QUESTIONAIRE

For Official Use Only Page 5 of 5

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

NOTE: For statements indicating “Not Acceptable,” please provide a brief explanation on the NARRATIVE EXPLANATION page.

CONTRACTOR NAME: CONTRACT NUMBER:

NARRATIVE EXPLANATION: