Section J - Attachment 15 - Past Performance Questionnaire DRAFT.doc

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Attached to
Technology Insertion Hardware Federal contract opportunity
Solicitation number
N0025310R0001
Issued by
Department of the Navy Naval Sea Systems Command

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Attachment 15

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SECTION J

ATTACHMENT 15

PAST PERFORMANCE QUESTIONNAIRE

For Technology Insertion Hardware (TIH) Program Managers, or their Contracting Officer Representatives, are requested to complete the attached past performance questionnaire to be used in evaluating past performance. Upon completion please submit to:

Naval Undersea Warfare Center (NUWC) Keyport

ATTN: Michael Yourkoski, Building 206

610 Dowell Street

Keyport WA, 98345

SOURCE SELECTION

PAST PERFORMANCE QUESTIONNAIRE

CONTRACTOR:

CONTRACT NUMBER:

CONTRACT TYPE:

ORIGINAL CONTRACT VALUE:

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 18 questions, choose the number on the scale of 1 to 4 that most accurately describes the Contractor’s performance on the contract listed above. A “4” represents outstanding, and “1” indicates unacceptable. 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.

PAST PERFORMANCE QUESTIONNAIRE (Cont.)

1.
Evaluate the Contractor’s compliance with contractual terms and conditions.

N/A

2.
Evaluate the Contractor’s adherence to task schedules and mission requirements.

N/A

3.
How well did the Contractor demonstrate the ability to overcome program, technical, or schedule difficulties?

N/A

4.
Evaluate the Contractor’s responsiveness to technical direction.

N/A

5.
Evaluate the Contractor’s technical judgment as demonstrated by the quality of its design reviews.

N/A

6.
Evaluate the Contractor’s ability to solve business management problems without extensive guidance from the procuring activity counterpart.

N/A

7.
How responsive and reasonable was the Contractor with regard to negotiating changes and modifications?

N/A

8.
Evaluate the Contractor’s labor force in terms of overall qualifications to perform the work required.

N/A

9.
Evaluate the Contractor’s willingness and ability to integrate as a team with the existing work force (Government and/or other contractors).

N/A

10.
Evaluate the stability of the Contractor’s work force.

N/A

11.
How well did the Contractor exercise management control over his own personnel?

N/A

12.
If the Contractor used subcontractor(s), how well did the Contractor exercise management control over the subcontractor(s)?

N/A

13.
Evaluate the Contractor’s work control procedures.

N/A

14.
How responsive was the Contractor to after hour’s emergency calls?

N/A

15.
Evaluate Contractor’s cost reporting and estimating system.

N/A

16.
Evaluate the responsiveness and quality of Contractor reports and documentation.

N/A

17.
Evaluate the Contractor’s development and utilization of key personnel.

N/A

18.
If the contract specified subcontracting goals, how well did the Contractor comply?

N/A

19.
Was the Contractor cooperative in negotiations and in resolving issues?
YES
NO
20.
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
21.
Would you award similar contracts to the Contractor in the future?
YES
NO
22.
What role did you play (e.g., COR, Contract Specialist, ACO)? How long?
_________________

NAME (Printed)/Phone

SIGNATURE

DATE

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