Past_Performance_Questionnaire.docx

Solicitation No. N68936-14-R-0008

PAST PERFORMANCE QUESTIONNAIRE

Technique Control Modulator Circuit Card Assemblies Solicitation No. N68936-14-R-0008

In their Past Performance Proposal submitted in response to Solicitation N68936-14-R-0008, the firm of ______________________________________ identified you as a reference/point of contact for Contract_______________________ for ______________________________.

The prospective acquisition is for Technique Control Modulator Circuit Card Assemblies.

You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. In addition to completing this questionnaire for the program/project or contract identified, we solicit your comments on other similar programs/projects for which your activity has contracts with this offeror.

Please provide narrative explanations for your answers. We are interested in all aspects of the contractor’s past performance including areas in which he excels. Space is provided for each area. If more space is needed for additional comments you may use the back of the questionnaire or attach additional paper as required.

Please complete this questionnaire and return it via E-MAIL to Robert.v.fisher@navy.mil. Handwritten Responses are acceptable addressed as follows: Naval Air Warfare Center Weapons Division, 429 E. Bowen Rd. MS 4015 China Lake, CA 93555-6108, Attn: Robert Fisher. If you have any questions regarding this questionnaire, please contact Robert Fisher, Contract Specialist, at (760) 939-8366. Please return the questionnaire to Robert Fisher by the date specified by the offeror who sent you this questionnaire.

Please complete the following general contract information, all information submitted will be kept confidential.

Your Activity/Company_______________

Name of Evaluator: ___________________________________________________

Phone Number and Office Code: __________________________________________

Position Title: _________________________________________________________

Relationship with the Program/Project or Contract: ___________________________

Length of Involvement with the Program/ Project or Contract (Yrs/Mos): __________

Contract Number____________________

Award Date______________ Completion Date______________

Competitive Award (yes/no)_______

Contract Value (Base plus Options) _________________

Type of Contract (CPFF, Fixed Price, etc.)_____________________

Description of Supply/Services: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Technical Complexity of Supply/Services: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

On the following pages we ask you to please evaluate the contractor’s current and/or past performance in the areas of:

1. Quality of product or service

2. Timeliness of performance

3. Cost control

4. Business relations

5. Customer satisfaction.

Each area you are asked to evaluate is on a separate page for your convenience.

The rating you are asked to give is expressed as a risk assessment.

1. Quality of Product or Service: Demonstrated compliance with contract requirements, accuracy of reports, a history of technical excellence, and minimal quality problems.

Based on your evaluation please indicate the degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Please provide general or specific comments relative to the contractor’s current and past performance as it relates to the quality of the product or service.

2.Timeliness of performance: Demonstrated ability to meet milestones, to be reliable, to complete projects on schedule, to provide effective contract administration, and minimal unexcused delays in delivery.

Based on your evaluation please indicate the degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Please provide general or specific comments relative to the contractor’s current and past performance as it relates to cost control.

3.Cost control: Demonstrated ability to complete projects within budget, to provide current accurate and complete billings, to engender cost efficiencies, and minimal cost issues.

Based on your evaluation please indicate the degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Please provide general or specific comments relative to the contractor’s current and past performance as it relates to timeliness of performance.

4. Business Relations: Demonstrated ability to effectively manage projects, to effectively manage Small/Small Disadvantaged Subcontracting and Women Owned Small Business Programs which meets or exceeds planned goals, to demonstrate reasonable and cooperative behavior, to provide effective contractor recommended solutions for emergent technical problems, and to display a business-like concern for the Government’s interests.

Based on your evaluation please indicate the degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Please provide general or specific comments relative to the contractor’s current and past performance as it relates to business relations.

5. Customer Satisfaction: The Demonstrated ability to provide services and products which meet or exceed the end users minimal performance requirements..

Based on your evaluation please indicate the degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Please provide general or specific comments relative to the contractor’s current and past performance as it relates to customer satisfaction.

Based on your evaluation above of the areas of quality of product or service, , timeliness of performance, cost control, business relations, and customer satisfaction, please indicate the overall degree of risk associated with this contractor for future performance:

RISK RATING

_____ HIGH – Based on the offeror’s performance and systemic improvement record, substantial doubt exists that the offeror will successfully perform the required effort.

_____ VERY HIGH – Based on the offeror’s performance and systemic improvement record, extreme doubt exists that the offeror will successfully perform the required effort.

_____ UNKNOWN – No performance record identifiable

Would you award a contract to this contractor again? If not, please provide reasons:

Are you aware of any other sources that could provide an evaluation for this contractor? If so, please provide the name, office symbol, phone number, etc. ________________________________________________________________________

Date Questionnaire Completed: ________________________________