Attachment 3 Past Performance Questionnaire.doc

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION N65236-16-R-0021

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.) Business Relationships - Effective management, businesslike correspondence, responsive to contract requirements, prompt notification of problems, reasonable/cooperative behavior, flexible, proactive, effective Contractor recommended solutions, timely award and management of subcontracts, effective small/small disadvantaged business subcontracting program;

e.) Key Personnel - How long key personnel stayed on the contract, how well they managed their portion of the contract, the quality and relevancy of the products/services generated by key personnel.

f.) 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 (insert closing date of solicitation) to aimee.kourafas@navy.mil. Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

Respectfully, Aimee Kourafas

Contract Negotiator

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.

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

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

4. BUSINESS RELATIONSHIPS:

(a) The Contractor demonstrated effective management over the effort performed.

(b) The Contractor maintained an open line of communication so that the COR and/or Technical Point of Contact were apprised of technical, cost, and schedule issues.

(c) The Contractor presented information and correspondence in a clear, concise, and businesslike manner.

(d) The Contractor promptly notified the Contracting Officer’s Representative, Technical Point of Contact, and/or Contracting Officer in a timely manner regarding urgent issues.

(e) The Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(f) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

(g) The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.

5. KEY PERSONNEL:

(a) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.

(b) The Contractor did not frequently propose personnel to fulfill the requirements of the contract that were clearly unqualified.

6. 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.

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

CONTRACTOR PERFORMANCE EVALUATION SURVEY CONTINUED

NARRATIVE EXPLANATION:

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