ATTACHMENT_10_PAST_PERFORMANCE_QUESTIONNAIRE.pdf

ATTACHMENT 10:

PAST PERFORMANCE QUESTIONNAIRE

N32205-17-R-2001 Source Selection Information—See FAR 2.101 and 3.104 AX-1

ATTACHMENT 10: PAST PERFORMANCE QUESTIONNAIRE

Military Sealift Command

TO: AGENCY/COMPANY:

PHONE: EMAIL: _________

INFORMATION REQUEST

PAST PERFORMANCE

This office is currently in the process of awarding a competitive service 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:

(1) Quality - Conformance to contract requirements, specifications and standards of good workmanship, accuracy of reports, technical excellence, reliability.

(2) Schedule - Timeliness of performance with regard to contract milestones, delivery/performance schedules, administrative requirements, actions that contribute to or affect schedule variance, contractor corrective actions.

(3) Cost Control - Effectiveness in forecasting, managing and controlling contract cost; demonstrated sense of cost responsibility, efficient use of resources, cost savings; current, accurate and complete billings; actual cost/rates reflect closely to negotiated cost/rates.

(4) Management - Integration and coordination of all activity need to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action, history of reasonable and cooperative behavior, customer satisfaction; responsiveness; subcontract management (when applicable);

program management; management of key personnel (when applicable).

(5) Utilization of Small Business - Effective program to maximize the participation of small business concerns in Federal agency contracts. Compliance with FAR 52.219-8 “Utilization of Small Business Concerns.”

Compliance with FAR 52.219-9 “Small Business Subcontracting Plan.”

(6) Regulatory Compliance - Compliance with all terms and conditions in the contract relating to applicable regulations and codes, to include – when applicable – compliance with financial, environmental, safety and labor regulations as well as any reporting requirements.

Note: Pursuant to FAR 15.305(a)(2)(iv), an offeror without a record of relevant past performance, or for whom information on past performance is not available, may not be evaluated favorably or unfavorably on past performance.

Such offerors will receive a neutral rating.

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, by the proposal due date & time to derek.l.willis@navy.mil. Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

David G. Foster Contracting Officer mailto:lisa.turlington@navy.mil

N32205-17-R-2001 Source Selection Information—See FAR 2.101 and 3.104 AX-2

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: TASK ORDER NO.:

GOVERNMENT/CUSTOMER TECHNICAL REPRESENTATIVE:

Name (print) Code Phone

RATING DEFINITIONS

Unsatisfactory Entirely unfavorable past performance. Offeror has consistently not satisfied previous customers and/or violated laws, regulations, and contract requirements. Performance did not meet contractual requirements and any corrective action taken was not effective.

Marginal Record of performance split between favorable & unfavorable. Performance did not meet some of the contractual requirements. The element being assessed reflects a serious problem for which the contractor did not implement or has not implemented satisfactory corrective actions.

Satisfactory Record of performance favorable. Offeror has satisfied previous customers, laws, regulations, and contract requirements.

Very Good Record of performance very favorable. Offeror has satisfied previous customers, laws, regulations, and contract requirements and exceeded some of the contract requirements to the government’s benefit.

Exceptional Record of performance extremely favorable. Offeror has always satisfied previous customers, laws, regulations, and contract requirements to a high degree and exceeded many contractual requirements to the government’s benefit.

Please read the statements on the following page(s), indicating your relative level of agreement in the box provided keeping in mind the definitions above:

N32205-17-R-2001 Source Selection Information—See FAR 2.101 and 3.104 AX-3

NOTE: Please provide a brief explanation for the ratings in each area on the attached page, especially in instances where the rating is a Marginal or Unsatisfactory.

EXCEPTIONAL VERY

GOOD

SATISFACTORY MARGINAL UNSAT

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 demonstrated technical excellence.

(4) The Contractor was reliable.

b.) 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’s actions positively affected schedule.

(3) If necessary, the Contractor took effective corrective actions related to schedule.

c.) COST CONTROL:

(1) The Contractor was effective in forecasting, managing and controlling contract cost.

(2) The Contractor demonstrated a sense of cost responsibility (i.e., the efficient use of resources and cost savings).

(3) The Contractor’s billings were current, accurate, and complete.

(4) The Contractor’s actual cost/rates reflected closely to negotiated cost/rates.

d.) MANAGEMENT:

(1) The Contractor integrated and coordinated all activity needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action, history of reasonable and cooperative behavior, and customer satisfaction.

(2) The Contractor was responsive.

(3) The Contractor demonstrated effective program management, including effective subcontract management (when applicable) and effective management of key personnel (when applicable).

e.) UTILIZATION OF SMALL BUSINESS

(1) The Contractor demonstrated an effective program to maximize the participation of small business concerns.

(2) The Contractor complied with FAR 52.219-8 “Utilization of Small Business Concerns.”

(3) The Contractor complied with FAR 52.219-9 “Small Business Subcontracting Plan.”

f.) REGULATORY COMPLIANCE:

(1) The Contractor complied with all terms and conditions in the contract relating to applicable regulations and codes, to include – when applicable – compliance with financial, environmental, safety and labor regulations as well as any reporting requirements.

N32205-17-R-2001 Source Selection Information—See FAR 2.101 and 3.104 AX-4

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

CONTRACTOR NAME: CONTRACT NUMBER:

NARRATIVE EXPLANATION:

PAST PERFORMANCE