J-5 Past Performance Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE COVER SHEET

NOTE TO OFFEROR: Submit this cover sheet with your proposal and provide copy to your customer evaluator. Ensure the correct phone number and email address are provided for the customer point of contact.

1. OFFEROR AND RFP NUMBER:

2. CONTRACT NUMBER BEING EVALUATED:

3. CUSTOMER EVALUATOR’S CONTACT INFORMATION:

a. NAME & TITLE:

b. PHONE NUMBER:

c. FAX NUMBER:

d. EMAIL ADDRESS:

PAST PERFORMANCE QUESTIONNAIRE TO BE COMPLETED BY CUSTOMER

When Filled In This Document is Source Selection Sensitive IAW FAR 2.101 and 3.104

SEND COMPLETED QUESTIONNAIRE TO THE GOVERNMENT BY EMAIL TO THE LIST BELOW:

bethjoven.a.delosreyes.civ@us.navy.mil andres.waslh@navy.mil robert.m.toledo.civ@us.navy.mil

WHAT WAS YOUR ROLE ON THIS CONTRACT. PLEASE DESCRIBE:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

PROVIDE A DETAILED PROJECT DESCRIPTION. INCLUDE MAJOR WORK ITEMS:_____________________________ __________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

CONTRACT/TASK ORDER AMOUNT: ________________________________________

PERFORMANCE PERIOD: ___________________________________________________

DID THE CONTRACTOR FUNCTION AS PRIME CONTRACTOR?________________

PERFORMANCE INFORMATION:

Chose an adjectival rating from the below chart that most accurately describes the contractor’s performance.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF UNSATISFACTORY OR MARGINAL.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

E (EXCEPTIONAL) – Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG (VERY GOOD) – Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S (SATISFACTORY) – Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective action taken by the contractor appear or were satisfactory.

M (MARGINAL) –Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

U (UNSATISFACTORY) – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N (NEUTRAL) – No relevant past performance record is identifiable upon which to base a meaningful performance risk prediction. A search was unable to identify any relevant past performance information for the contractor or their key personnel. (This is neither a negative nor positive assessment.)

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

THE CONTRACTOR:

18. Timely submitted required reports.

E VG S M U N

NARRATIVE QUESTIONS:

1. Was the contractor ever issued a cure or show cause notice under this contract? If yes, explain in Block 5. YES/ NO

2. Would you award another contract to this contractor? YES/NO

3. Is this contract rated in CPARS/PPIRS? YES/NO

4. COMMENTS RELATING TO TECHNICAL: Were you satisfied with the overall quality of work performed by the contractor? Specify any warranty issues. Please provide specific examples:

5. COMMENTS RELATING TO SCHEDULE: Were you satisfied with the contractor’s performance on schedule? Please provide specific examples. Explain any cure or show cause notice issued.

6. COMMENTS RELATING TO MANAGEMENT: Were you satisfied with the management team? Please provide specific examples.