Attachment L-P3 SWMFTS_Past Performance Questionnaire.docx

Attachment – VOLUME 1

PAST PERFORMANCE QUESTIONNAIRE FOR SERVICES

FOR SOLICITATION N61340-23-R-0058

Responses shall be in Times New Roman font, size 12 and not be bold.

Instructions to offeror: Send the questionnaire to the: 1. Contracting officer, 2. Program manager, 3. Technical lead, 4. Additional points of contact (POC) that can provide an assessment on your proposed past performance effort. Please provide all data requested in Parts I and II of the questionnaire. When completed, email the questionnaire to the POC and copy maria.d.maldonado20.civ@us.navy.mil ; cynthia.d.armound.civ@us.navy.mil ; and marika.p.vickers.civ@us.navy.mil and levi.m.alexander.civ@us.navy.mil.

I. CONTRACT ADMINISTRATIVE DATA (To be completed by the Offeror)

Offeror Name:

Contract Number/Task Order:

Contract Name:

Period of Performance:

Contract Type:

Offeror Role in Contract:

Dollar Value of Contract:

Dollar Value of Offeror Role in Contract:

Dollar Value of Effort as it Relates to the Instant Effort:

Administrative Place of Contract:

Cage Code:

DUNS:

Customer:

Contracting Agency:

II. POINT OF CONTACT (POC) Data (To be completed by the Offeror)

Name:

Position or role:

Agency:

Address:

Phone:

Email:

Other:

III. INFORMATION TO THE PPQ POC

Your assistance is requested in support of a source selection. Please complete the assessment below and send all pages of this questionnaire to: maria.d.maldonado20.civ@us.navy.mil ; cynthia.d.armound.civ@us.navy.mil ; and marika.p.vickers.civ@us.navy.mil and levi.m.alexander.civ@us.navy.mil within two weeks of receipt from offeror listed above.

Assessment: (To be completed by the PPQ POC)

Instructions to complete the assessment: Please provide responses to, 1 through 4, that are listed below the assessment rating system table. Place an “X” in the rating that best assesses the offeror’s performance in the areas listed below. Then provide examples (two examples are requested) to substantiate your rating. Please complete and forward all pages of this questionnaire to maria.d.maldonado20.civ@us.navy.mil ; cynthia.d.armound.civ@us.navy.mil ; and marika.p.vickers.civ@us.navy.mil and levi.m.alexander.civ@us.navy.mil within two weeks of receipt from offeror listed on page 1.

Rating System Table:

A common five level assessment rating system is used to evaluate a contractor's performance. Ratings range from Unsatisfactory to Exceptional. Here's a breakdown of each category:

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.

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.

Satisfactory

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

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.

Unsatisfactory

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

1. Given what I know today about the contractor's ability to execute what he promised in his proposal, I DEFINITELY WOULD or PROBABLY WOULD or PROBABLY WOULD NOT award to him today given that I had a choice.

2. Quality of Product or Service: (Assess the contractor’s track record of meeting past contract/order requirements, meeting specifications and standards of good workmanship in the delivery of quality supplies and services (i.e., the quality of the contractor’s technical performance, e.g., generating accurate reports/data, meeting accepted technical or professional standards, etc.))

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Provide examples that substantiate rating:

3. Management: (Assess the contractor’s past performance in managing the contracted effort, to include program management, subcontract management, and cooperation with the customer. (i.e., the contractor’s ability to generate effective business relations, the contractor’s ability to generate customer satisfaction, the contractor’s responsiveness to the program as it relates to meeting contract/order requirements, etc.))

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4. Cost Control: (Assess how well the contractor controlled contract costs to include the cost of performance, cost overruns and cost underruns (i.e., keeping cost within budget, e.g., exercising adequate budgetary internal controls; preparing current, accurate and complete billings; providing Government notification, and taking corrective action when cost estimate exceeds available funds.)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Signature _____________________________________________ Date _____________ Please note that electronic signatures are acceptable. An e-mail from the originator of this document will suffice. Signatures (electronic or hand written) verify that the signator completed this form and agrees with the information contained within it.