J-6 - Past Performance Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE

Fleet Logistics Center (FLC) Naples is currently evaluating competitive offers for ship repair work items required to enable the vessel to maintain mission readiness and complete ABS class surveys. This requirement consists 91 regular work items and 17 optional work items to be performed on board of a USNS TRENTON (EPF 5) within 60 days at the contractor’s pier.

The principal dimensions of the ship are the following:

LENGTH

103.0 m (337.9 ft)

BEAM

28.5 m (93.5 ft)

DRAFT FULL LOAD (mean)

3.92 m (12.85 ft)

ESTIMATED GROSS TONNAGE

9780 TONNES

DESIGN DEADWEIGHT

1700 TONNES

ESTIMATED ARRIVAL DRAFT

3.4M (11.0 FT) FWD

3.4M (11.0 FT) Aft

AIR DRAFT WITH MAST DOWN

25.3M (83 ft) The work items include repairs for the following categories:

· hull repairs (such as flight deck parking area non-ski renewal, inspect flight deck tie-downs, underwater hull inspection);

· propulsion machinery (such as heat exchanger cleaning, reduction gear service);

· communication and navigation aids (such as gyro service maintenance, radio communication certification, VDR annual servicing, magnetic compass calibration);

· auxiliary system (such as fire doors and shutter inspection, SSDG maintenance support, SCBA annual certification, and fixed gas firefighting system inspection);

· outfit, furnishings and habitability (such as galley equipment, rescue boat and Davit annual inspection, and life raft & m.e.s. certification);

· sponsor equipment (mission space and package support);

· HVAC (air conditioning and refridgeration system maintenance, ventilation duct cleaning, laundry vent cleaning, Gaylord hood cleaning)

· Docking and undocking (deck drains inspections)

· Mission UNREP Equipment (UNREP VERTREP Equipment and System Testing).

You have been named as a point of contact for services previously provided by the contractor cited herein. Please provide the information requested in the questionnaire. The information you provide will become part of the source selection documentation; however, your name will not be released to any of the parties. Should you have any questions concerning this request, please contact LT Kyle Wagner in Naples, Italy at Tel 0039 081-568-3467 or E-mail at kyle.wagner@eu.navy.mil (To be completed by NAVSUP FLC SIGONELLA NAPLES)

Contractor:

Address:

(To be completed by person to whom questionnaire is addressed):

1.

Background Information a.

Name of person completing this questionnaire and position.

Name:

Agency:

Tel No.

E-mail Address:

b.

Contract No: ___________________________ c.

Detailed description of services:

d.

Period of Performance (all years): ____________________________________ e.

Total value of the contract (all years): _________________________________

2.

Contractor's Past Performance

a. In your opinion, is the work performed under your contract similar to the government’s requirement which comprises the repairs listed above? ____________________________________________________________________________________________________________________________________________________________________________

b. Please answer each of the following questions by checking the appropriate rating for each item and by providing a narrative to support the corresponding adjectival rating selected.

Adjectival Rating

Description Outstanding (O)

Superior accomplishment of contract requirements and very high customer satisfaction.

Acceptable (A)

Fully compliant accomplishment of contract requirements and positive customer satisfaction.

Unacceptable (U)

Failure to properly accomplish contract requirements and failure to satisfy customer.

Not Applicable (N)

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

(1) Quality/Achieving Contract Requirements: The offeror’s demonstrated history of delivering products and services that met or exceeded the requirements of the contract.

How would you describe your level of customer satisfaction?

Outstanding

Acceptable

Unacceptable

Not Applicable

(2) Timeliness: Did the Contractor meet/comply with performance schedules?

Rate the timeliness of submission of requested information, reports and invoicing.

Outstanding

Acceptable

Unacceptable

Not Applicable

(3) Contractor Responsiveness: The offeror’s demonstrated ability to: Respond to customer concerns (Identify specific concerns and the contractor’s resolution)

Outstanding

Acceptable

Unacceptable

Not Applicable

(4) Isolate and resolve problems: The number and severity of problems, the effectiveness of corrective actions taken, and the ability to implement corrective actions on future work.

Outstanding

Acceptable

Unacceptable

Not Applicable

(5) Contractor's cost control: Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.)

Outstanding

Acceptable

Unacceptable

Not Applicable

(6) Were there significant problems with contract administration and/or interpretation of the contract after award? If YES, please explain in the additional comments section below. Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(7) Would you do business with this company again?