ATTACHMENT 3_15R0010_PP Questionnaire_29June17.docx

ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE

N65236-15-R-0010

CONTRACTS DEPARTMENT,

P.O. BOX 190022, NORTH CHARLESTON, SC 29419-9022

TO: AGENCY:

PHONE: EMAIL:

INFORMATION REQUEST

PAST PERFORMANCE

This office is currently in the process of awarding a competitive service contract. [CONTRACTOR NAME] has provided your name and organization as a reference regarding [CONTRACTOR’S NAME] record of past performance under Contract No. [CONTRACT NO.]. Specifically, we are looking for past performance information regarding the following areas:

a.) Quality of Product or Service - Conformance to contract requirements, specifications and standards of good workmanship, accuracy of reports, appropriateness of personnel, and technical excellence;

b.) Schedule - Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction, completed on time, including wrap-up and contract administration, no liquidated damages assessed;

c.) Cost Control - Within budget, current accurate and complete billings, actual cost/rates reflect closely to negotiated cost/rates, cost efficiency measures, adequate budgetary internal controls;

d.) Management – Management responsiveness, subcontract management, program/other management;

e.) Utilization of Small Business - Assess whether the contractor provided maximum practicable opportunity for Small, assess compliance with all terms and conditions in the contract relating to Small Business participation and commitment to Small Business, HUBZone Small Business, Small Disadvantaged Business, Women-Owned Small Business, Service Disabled Veteran-Owned Small Business, and Veteran-Owned Small Business Subcontracting.

In order for our team to compile its evaluation, we request that you complete the attached survey form and email it, along with any other pertinent information, NOT LATER THAN ____ to Adam.Solivan@navy.mil. Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

Respectfully,

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: DELIVERY ORDER NO.:

GOVERNMENT TECHNICAL REPRESENTATIVE:

Name (print)

Code

Phone

Please read the statements below, indicating your relative level of agreement in the box provided:

1. QUALITY OF PRODUCT OR SERVICE:

(a) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship

(b) The Contractor submitted accurate reports.

(c) The Contractor utilized personnel that were appropriate to the effort performed.

2. SCHEDULE:

(a) The tasks required under this effort were performed in a timely manner and in accordance with the period of performance of the contract.

(b) The Contractor was responsive to technical and/or contractual direction.

3. COST CONTROL:

(a) The Contractor performed the effort within the estimated cost/price.

(b) The Contractor submitted accurate invoices on a timely basis.

(c) The Contractor demonstrated cost efficiencies in performing the required effort.

(d) The actual costs/rates realized closely reflected the negotiated costs/rates.

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION N65236-15-R-0010

NOTE: For statements indicating “Exceptional” or “Unsatisfactory,” please provide a brief explanation on the attached page.

3-1

ATTACHMENT 3– PAST PERFORMANCE QUESTIONNAIRE

N65236-15-R-0010

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

CONTRACTOR NAME: CONTRACT NUMBER:

4. MANAGEMENT:

Assess what most accurately depicts the contractor’s performance in managing the contracted effort (not a roll-up of sub elements) a). Management Responsiveness – Assess the timeliness, completeness, and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, engineering change proposals, or other undefinitized contract actions), the contractor’s history of reasonable and cooperative behavior, effective business relations, and customer satisfaction.

(b). Subcontract Management – Assess the contractor’s success with timely award and management of subcontracts. Assess the prime contractor’s effort devoted to managing subcontracts and whether subcontracts were an integral part of the contractor’s team.

(c). Program and Other Management – Assess the extent to which the contractor discharges its responsibility for integration and coordination of all activity needed to execute the contract; identifies and applies resources required to meet schedule requirements; assigns responsibility for tasks/actions required by the contract; communicates appropriate information to affected program elements in a timely manner. Assess the contractor’s risk management practices, especially the ability to identify risks and formulate and implement risk mitigation plans.

5. UTILIZATION OF SMALL BUSINESS:

Assess whether the contractor provided maximum practicable opportunity for Small Business to participate in contract performance consistent with efficient performance of the contract. Assess compliance with all terms and conditions in the contract relating to Small Business participation (including FAR 52.219-8, Utilization of Small Businesses and FAR 52.219-9, Small Business Subcontracting Plan (when required). Assess any small business participation goals which are stated separately in the contract Assess achievement on each individual goal stated within the contract or subcontracting plan including good faith effort if the goal was not achieved.

NOTE: For statements indicating “Exceptional” or “Unsatisfactory,” please provide a brief explanation on the attached page.

ATTACHMENT 3– PAST PERFORMANCE QUESTIONNAIRE

N65236-15-R-0010

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

CONTRACTOR NAME: CONTRACT NUMBER:

NARRATIVE EXPLANATION: