Attachment (2) Present and Past Performance Questionnaire -N6470920R0009.docx

Solicitation Number: N6470920R0009 Page 4 of 4 Attachment 2 Present and Past Performance Data Sheet

Present and Past Performance Questionnaire Dated:

Strategic Weapons Facility, Atlantic (SWFLANT)

Submit completed questionnaires by email to at SPK12CONTRACTS@SWFLANT.NAVY.MIL by

When complete, the information on this form is Source Selection Sensitive Information (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _____________________________________________________________

B. Cage Code: _______________________________________

C. Contract number: ___________________________________________________________________________

D. Contract type (e.g. Fixed price, Cost reimbursement): ______________________________________________

E. Was the referenced contractor the prime contractor on this contract? Yes____ No____

F. Type of Services: _____________________________

G. Was this a competitive contract? Yes _____ No _____

H. Period of performance:_______________________________________________________________________

I. Place of performance: _______________________________________________________________________

J. Contract Value: $_______________________________________________________________________

K. Current status of contract (choose one) [ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)

L. Description of service provided:

TO BE COMPLETED BY OFFEROR’S CUSTOMER

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _________________________________________________________________________________________

B. Customer or agency description (if applicable): _________________________________________________________________________________________

SECTION 3: REVIEWER IDENTIFICATION

A. Reviewer's name: _________________________________________________________________________________________ B. Reviewer's title: _________________________________________________________________________________________ C. Reviewer's phone/email address: _________________________________________________________________________________________

Number of months the reviewer worked on subject contract: _____________________

SECTION 4: EVALUATION

Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), Unsatisfactory (U), or Neutral (N).

A. Quality of Products and Services – Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

E VG S M U N

B. Timeliness – Assess the Contractor’s performance in regards to the timely completion of contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., effort that contributes to or affects the schedule variance).

E VG S M U N

C. Good Business Relationships – Assess the Contractor’s ability with regard to the timeliness, completeness and quality of problem identification and resolution, history of reasonable and cooperative behavior, customer satisfaction timely award and management of subcontracts.

E VG S M U N

D. Management of Personnel – Assess the contractor’s ability with regard to demonstration of a commitment to the management of personnel with regard to the Offeror’s performance in selecting, retaining, supporting, and replacing when necessary personnel.

E VG S M U N

E. Cost Control – Assess the Contractor’s ability to manage and control their contract cost.

E VG S M U N

F. Overall Assessment

E VG S M U N

Reviewer’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:Email a copy to: