N00189-07-R-0022-Atch3-PastPerfDataSheet.doc

Attachment 3 Contract Performance Data Sheet

Provide the information requested in this form for each program being described. Provide frank, concise comments regarding the nature of your performance on the contracts you identify. If more space is required, continue on the back of the form or add additional pages as necessary. This form is available in electronic format (MS Word) from the Contract Specialist identified as the Point of Contact in the solicitation.

1. Offeror Name (Company/Division)

2. Program Title:

3. Description of Service:

4. Contract Specifics:

a. Contract Number

b. Contract Type

c. Period of Performance

d. Original Contract $ Value

e. Current Contract $ Value

(If Amounts for d and e above are different, provide a brief description of the reason)

f. Dollar amount of work actually performed to date

g. CAGE Code

5. Brief Description of Effort as __Prime or __Subcontractor (Check one). (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition. Describe team contribution by team member as major, significant or minor.)

6. Completion Date (fill in all that apply):

a. Original date:

b. Current Schedule:

c. Estimated date of Completion:

d. How Many Times Changed:

e. Primary Causes of Change:

7. Primary Points of Contact:

a. Program Manager (Government):

(1) Name:

(2) Office:

(3) Address:

(4) Telephone:

(5) E-Mail

b. Procuring Contracting Officer (Government):

(1) Name:

(2) Office:

(3) Address

(5) Email

c. Administrative Contracting Officer(Government) :

(1) Name:

(2) Office:

(3) Address:

(5) Email

8. Relate your experience under this contract to the tasks or subtasks contained within the current solicitation PWS. In particular, compare the Relevance of this contract work in terms of the Scope, Complexity, and Magnitude of the current solicitation. (See the solicitation for more detailed treatment and definition of Relevance, Scope, Complexity, and Magnitude).

As an initial step, the PCO will conduct a simplified relevancy review. Any contracts involving work/performance that have no meaningful relationship to the requirements stated in the solicitation will be excluded from consideration. Subjective judgment on the part of the PCO is implicit in the entire process, and the PCO will have substantial discretion in determining what is, or is not, a relevant contract.

9. Address any unique aspects of this program that would reflect upon your ability to successfully perform the work described in the current solicitation.

10. Specify by name any key individual(s) who participated in this previous contract and are proposed to support the new contract. Also, indicate their roles/job descriptions/duties for both efforts.

11. Summary of awards, citations, or other indications of customer satisfaction.

12. Problems encountered and lessons learned. Describe your ability to isolate past problems down to a root cause, and then describe actions taken to resolve the root cause. Performance problems found during the evaluation of a contractor’s performance, which are not addressed by the Offeror shall be assumed to still exist. Consequently, it is imperative that all performance issues are addressed.

Contractor Performance

Customer Input Sheet/ Questionnaire

Attachment 16

Solicitation Number:N00189-07-R-0022

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. This form is available in electronic format (MS Word) or as "hard copy." Completed questionnaires may be emailed or faxed to:

FISC Norfolk, ATTN: Code 230A, Darva Gruber, Contract Specialist

1968 Gilbert Street, Suite 600

Norfolk, VA 23511-3392

Phone: Commercial (757) 443-1325

Fax: Commercial: (757) 443-1402

Email: darva.gruber@navy.mil

2. Explanation of codes:

CODE

PERFORMANCE LEVEL

O OUTSTANDING - Truly exceptional accomplishment of contract requirements and extraordinary customer satisfaction. Extremely Low Performance Risk. Based on the offeror's performance record, virtually no doubt exists that the offeror will very successfully perform the required effort.

HA

HIGHLY ACCEPTABLE – Superior accomplishment of contract requirements and very high customer satisfaction. Very Low Performance Risk. Based on the offeror's performance record, very little doubt exists that the offeror will successfully perform the required effort.

A ACCEPTABLE - Fully-compliant accomplishment of contract requirements and positive customer satisfaction. Low Performance Risk: Based on the offeror's performance record, minimal (but perhaps some) doubt exists that the offeror will successfully perform the required effort.

M MARGINAL - Minimal or weak accomplishment of contract requirements and low level of customer satisfaction. High Performance Risk. Based on the offeror's performance record, significant doubt exists that the offeror will successfully perform the required effort.

U UNACCEPTABLE - Failure to properly accomplish contract requirements and failure to satisfy customer. Very High Performance Risk. Based on the offeror's performance record, it appears unlikely that the offeror will successfully perform the required effort.

N NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

a. Contractor:

b. Contract number:_________________________________________________

c. Period of Performance:_____________________________________________

d. Negotiated price or cost at award:____________________________________

e. Current estimated contract dollar amount:

f. Dollar value of work actually performed to date: ______________________

g. Describe product/ service acquired: __________________________________

4. Assessment Elements. Circle the appropriate letter for each item on the questionnaire (or if forwarding electronic copy via e-mail, “bold” the appropriate letter) and provide supporting narrative.

(1) Quality/Achieving Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

· How would you describe your level of customer satisfaction?

O

HA

A M U N

· Were there instances of rework and/or deficiency reports? (If yes, explain)

A M U N

· Did the contractor engage in effective and/or innovative work applications that were beneficial to the Government?

A M U N

(2) Quality/Timeliness.

· Did the Contractor meet/comply with performance schedules?

A M U N

· Rate the timeliness of submission of requested information, reports and invoicing.

A M U N

(3) Quality/Contractor Responsiveness. The offeror’s demonstrated ability to:

· respond to customer concerns

A M U N

· isolate and resolve problems

· the number and severity of problems,

· the effectiveness of corrective actions taken.

A M U N

· Contractor's cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.)

A M U N

5. Additional Observations/Information

· Identify the contractor's overall strengths and weaknesses.

· Given hindsight, are you satisfied that that the contract was awarded to the right contractor? Would you be pleased to have this contractor perform work for you again? Why?

· Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

· Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.

(If more comment space needed, write on back, or attach pages.)

6. Please provide the name, title, address, and phone number of the person completing this questionnaire.

Phone _______________ FAX ___________________

7. Thank you for your assistance in this source selection. If you have any questions, please call Darva Gruber at Commercial (757) 443-1325; Email: darva.gruber@navy.mil

Source Selection Information

- 4 -

See FAR 3.104