J.1_Past_Performance_Questionnaire.pdf

N61331-18-R-0010 Attachment J.1

Past Performance Questionnaire

Source Selection Information – See FAR 2.101 and 3.104

Contractor Name:

Contract/Task Order Number:

Government POC Name, Title & Location:

Government POC Telephone number:

Government POC E-mail address:

Total Contract Value:

Period of Performance: From: To:

Based on your knowledge of the contract, please provide your assessment of how well the contractor performed on each of the following topics. Please check the appropriate rating and comment on all responses other than those rated N/A.

Performance Assessment Values:

5 = Exceptional 4 = Very Good 3 = Satisfactory 2 = Marginal 1 = Unsatisfactory 0 = Not Applicable

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement being evaluated was accomplished with few minor problems for which corrective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or subelement being evaluated was accomplished with some minor problems

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

Performance does not meet some contractual requirements. The contractual performance of the element or subelement being evaluated reflects a serious problem for which the contractor has not yet identified

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s

Unable to provide a score. Performance in this area not applicable to effort assessed.

actions taken by the contractor were highly effective.

for which corrective actions taken by the contractor was effective.

corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

corrective actions appear or were ineffective.

Assessment Elements:

Question Performance Rating Comments

Cost Control. Rate the contractor’s effectiveness in forecasting, managing, and controlling cost (including reporting and analyzing variances) and ability to deliver at the agreed-to cost/price. Provide reasons for changes to the contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes).

Schedule. Rate the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

Mission Requirements. Rate the contractor’s ability to provide a product or service that met your mission requirements.

Quality. Rate the contractor’s ability to provide a product or service that met your required level of quality. Assess the contractor’s conformance to

Question Performance Rating Comments contract requirements, specifications, and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards.)

Subcontract Management. Rate the contractor’s ability to meet the goals of the subcontracting plan, to include the ability to timely award and manage subcontracts.

Business Relations. Rate the contractor’s ability to integrate and coordinate all activities needed to execute the contract, specifically the timeliness, completeness, quality of problem resolution, corrective action plans, the contractor’s history of reasonable and cooperative behavior, customer satisfaction, and its ability to submit accurate invoices in a timely manner.

Management of Key Personnel. Assess the contractor’s performance in selecting, retaining, supporting, and replacing—when necessary—key personnel.

Recommendation. To what extent would you recommend this contractor for additional contracts?

Rate on the following scale: 5 = Yes, definitely; 4 = Yes, likely; 3 = Maybe, 2 = No, not likely; 1 = No, not ever; 0 = N/A.