Attachment 03 Revised - Past Performance Reference_Questionnaire (MK38 AIT) - Amendment 01.pdf

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Attached to
MK38 Alteration Installation Team (AIT) Support Federal contract opportunity
Solicitation number
N00174-25-R-0002
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This is a Past Performance Reference Matrix and Questionnaire template (Attachment 3) for solicitation N00174-25-R-0002 related to MK38 Alteration Installation Team support services. The document consists of two main sections: a reference matrix requiring offerors to provide details of relevant past contracts, and a performance questionnaire to be completed by references.

The reference matrix allows prime contractors to submit up to 10 relevant contracts and subcontractors up to 5 relevant contracts from the past 5 years. For each contract, offerors must provide the contract number, period of performance, dollar value, work description, on-time completion status, and cost performance information. The questionnaire portion evaluates contractors across five key areas: customer satisfaction, timeliness, technical success, program management, and quality, using a rating scale from "Unsatisfactory" to "Exceptional." References must also provide subjective responses about whether they would recommend the contractor and any unique problems experienced. The completed questionnaires are to be submitted to the Naval Surface Warfare Center Indian Head Division - Picatinny Detachment.

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Text version

Attachment 3 Revised – Past Performance Reference Matrix & Questionnaire – Amendment 01

NAME OF PRIME: ____________________________________

Provide no more than ten (10) of the Offeror’s Relevant Contracts.

Contract Number/Task Order Number

Contract Period of

Performance

$ Value of Contract

Work Description and Relevancy of this work to the current requirement

Contract Completed on Time

YES / NO

Contract Completed at Proposed Cost

YES / NO

(if no % of overrun)

Provide Explanation for NO answers

Performance

$ Value of Contract

Work Description and Relevancy of this work to the current requirement

Contract Completed on Time

YES / NO

Contract Completed at Proposed Cost

YES / NO

(if no % of

Only Past Performance references within the last five (5) years of the date of the solicitation issuance will be considered compliant with the solicitation instructions.

NAME OF SUBCONTRACTOR: ____________________________________

Provide no more than five (5) of the Subcontractor’s Relevant Contracts

Performance

$ Value of Contract

Work Description and Relevancy of this work to the current requirement

Contract Completed on Time

YES / NO

Contract Completed at Proposed Cost

YES / NO

(if no % of

Only Past Performance references within the last five (5) years of the date of the solicitation issuance will be considered compliant

Performance

$ Value of Contract

Work Description and Relevancy of this work to the current requirement

Contract Completed on Time

YES / NO

Contract Completed at Proposed Cost

YES / NO

(if no % of

Only Past Performance references within the last five (5) years of the date of the solicitation issuance will be considered compliant

Performance

$ Value of Contract

Work Description and Relevancy of this work to the current requirement

Contract Completed on Time

YES / NO

Contract Completed at Proposed Cost

YES / NO

(if no % of

Only Past Performance references within the last five (5) years of the date of the solicitation issuance will be considered compliant

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION NUMBER: N00174-25-R-0002 (MK38 AIT)

Offeror’s Name:

Name of agency/activity completing questionnaire:

Name and title of the person completing questionnaire:

Contract Number/Period of Performance: __________________________________________________

Length of time your agency/activity has been involved with the Offeror:

Brief description of the services provided by the Offeror:

SUBMIT PAST PERFORMANCE QUESTIONNAIRE PRIOR TO THE CLOSING DATE OF THE SOLICITATION TO:

Naval Surface Warfare Center Indian Head Division (NSWC IHD) – Picatinny Detachment e-mail address: michael.j.anthony40.civ@us.navy.mil

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CUSTOMER SATISFACTION

The referenced contractor was responsive to the customer’s needs.

The contractor’s personnel were qualified to meet the requirements.

The contractor’s ability to accurately estimate cost.

TIMELINESS

The contractor’s ability to ensure, to the extent of its responsibility, that all tasks were completed within the requested time frame.

TECHNICAL SUCCESS

The contractor had a clear understanding of the tasks detailed in the SOW and/or delivery orders.

The contractor’s ability to complete tasks correctly the first time.

The contractor’s ability to resolve problems.

PROGRAM MANAGEMENT

Did the contractor successfully manage its subcontractors?

Was the contractor’s management effective in controlling cost, schedule and performance requirements?

QUALITY

The contractor’s quality and reliability of services delivered.

OVERALL

Please assign an overall rating for the contractor’s work performed.

PLEASE PROVIDE SUBJECTIVE RESPONSES FOR THE FOLLOWING:

1. Would you recommend this contractor for similar contracts? Please explain:

2. Have you experienced special or unique problems with the referenced contractor that the Government should be aware of in making our decision?

File details come from the government source that posted it. Updated .