Past_Performance_Questionnaire.doc

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Attached to
Personnel Security (PERSEC) Medical Evaluations Federal contract opportunity
Solicitation number
N6893615R0031
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Past Performance Questionnaire

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15-R-0031_RFP_Solicitation.docx DOCX document
CDRL's.doc DOC document
Offeror_Cost_Spreadsheet.xls XLS spreadsheet
QASP.doc DOC document

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From: Naval Air Warfare Center, Weapons Division CODE 254330D

429 E. Bowen Rd. STOP 4015, China Lake, CA 93555-6108

PAST PERFORMANCE QUESTIONNAIRE PACKAGE FOR SERVICES

FOR SOLICITATION:
N68936-15-R-0031

Submit completed past performance questionnaire package by 31 August 2015 to: Rachelle Stacy .

By Facsimile at:
(760) 939-8107
Email to:
rachelle.stacy@navy.mil

(1) Name of Contractor questionnaire is being completed for:

(2) Solicitation or Request for Proposal Number:
N68936-15-R-0031

(3) Role Contractor played in Prior Contract

Prime

Joint Venture Team Member

Subcontractor

(4) Proposed Role in Pending Contract

Prime

Joint Venture Team Member

Subcontractor

(5) Length of time your agency/firm has been involved with the Offeror:

(6) Contract type:

(7) Contract value:

(8) Description of service:

(9) Is Performance on this contract being reported in CPARS

No, complete page 2 of questionnaire

Yes, answer question (i) below

(i) Has the scope of work significantly changed since the last CPAR?

No

Yes, provide details in (iv) below

(ii) Have there been any significant changes in contractor performance between the last CPAR and now?

No

Yes, answer question (iii) below

(iii) Has an out-of-cycle CPAR been initiated to document changes in performance?

No, provide details of changes in (iv) below

Yes

(10) Name of agency/company completing questionnaire:

(11) Name of person completing questionnaire:

(12) Email address of person completing questionnaire:

(13) Title of person completing questionnaire:

(14) Phone number of person completing questionnaire:

(15) Date questionnaire is being completed:

RATING SCALE: Please use the following ratings to answer the questions on page 2.

Rating
Definition
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Neutral
No record exists.
N/A
(Not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation

NOTE: For statements indicating less than “Satisfactory”, please provide a brief explanation in the comments section of the survey.

CONTRACTOR PAST PERFORMANCE EVALUATION SURVEY FOR SERVICES
N/A
Neutral
Unsatisfactory
Marginal
Satisfactory
Very Good
Exceptional

a.) QUALITY OF SERVICE:

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

(2) The Contractor submitted accurate reports.

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

b.) COST CONTROL:

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

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

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

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

c.) SCHEDULE:

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

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

d.) BUSINESS RELATIONSHIPS:

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

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC) were apprised of technical, cost, and schedule issues.

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

(4) The Contractor promptly notified the COR, TPOC, and/or Contracting Officer in a timely manner regarding urgent issues.

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

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

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

e.) MANAGEMENT OF PERSONNEL:

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

(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.

f.) CUSTOMER SATISFACTION:

(1) The services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or the TPOC.

(3) I am satisfied with the performance of the Contractor under this effort.

COMMENTS:

Attachment (4)

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