Attachment_E_-_Contractor_Performance_Questionnaire.doc

N42158-18-T-N031 ATTACHMENT (E)

Contractor Performance Customer Input Sheet/Questionnaire

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO :

NAVSEA Norfolk Naval Shipyard Maritime Industrial Division

Contracting Department

Bldg. 1500, 2nd Floor

Attn: Chad Godwin, Code 412.2C Portsmouth, VA 23709

Phone: (757) 396-8277 Fax: (757) 396-9895

Email: chad.godwin@navy.mil

*****IMPORTANT*****

PLEASE DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST

CONTRACTOR:__________________________________________________

CONTRACT NO.__________________________________________________

A. The completion of this questionnaire is requested from your agency/company in order for NAVSUP FLCN, Norfolk Naval Shipyard Maritime Industrial Division to evaluate the aforementioned contractor’s past performance on the subject contract. Past performance will be used as a means of evaluating the relative capability of the offeror to successfully meet the Government’s current requirement.

Please provide concise comments regarding your overall assessment of the contractor’s performance on the contract identified below. Your response to each questions is requested in a narrative format. Please e-mail or fax your completed questionnaire directly to the address shown above.

RESPONDEE INFORMATION:

Company's Name ________________________________________________________

POC/Title/Position: ______________________________________________________

Email Address: _________________________________________________________

Contract/Purchase Order No.______________________________________________

Contract Amount: _______________________________________________________

Contract Type: __________________________________________________________

Period of Performance: ___________________________________________________

Business Address_________________________________________________________

Phone Number __________________________________________________________

Contractor Performance Customer Input Sheet/Questionnaire (contd)

B. Explanation of codes:

CODE

PERFORMANCE LEVEL

HA

HIGHLY ACCEPTABLE - Performance meets contractual requirements and exceeds some (requirements) to the Government's benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A ACCEPTABLE - Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

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

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

C. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

1. Rate the Offeror’s Quality:

(i) Overall satisfaction with the Offeror

HA

A M U N

(ii) Instances of rework and/or deficiency reports

HA

A M U N

Contractor Performance Customer Input Sheet/Questionnaire (contd)

(iii) Effective and/or innovative work applications that were beneficial to you

HA

A M U N

2. Rate the Offeror’s Timeliness:

(i) Demonstrated ability to comply with: delivery and/or performance schedules. What were the causes of any delay?

HA

A M U N

(ii) Timeliness of submission of requested information, reports, and invoicing

HA

A M U N

3. Rate the Offeror’s Responsiveness:

(i) Demonstrated ability to respond to your concerns, isolate and resolve problems and take systemic improvement action

HA

A M U N

(ii) Did the product meet the required level of quality?

HA

A M U N

Contractor Performance Customer Input Sheet/Questionnaire (contd)

(iii) What is your overall rating of the contractor’s performance?

HA

A M U N

D. Identify the contractor's overall strengths and weaknesses.

E. Given the choice, would you award to this contractor again?

F. 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.

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