Attachment_3PastPerformanceQuestioanarire_wpd_v3.docx

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High Power Transmit Power Amplifier Equipment
Solicitation number
NRL-16-LO01
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Attachment 3- Past Performance Questionnaire Amendment 0001

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Solicitation No. N00173-16-R-LO01 4 | Page

Attachment 3 – Past Performance Questionnaire (Recent & Relevant)

PAST PERFORMANCE QUESTIONNAIRE

Instructions: The Naval Research Laboratory (NRL) requests that you complete this questionnaire and provide your feedback to assist with establishing the performance history for the Contractor identified below. In an effort to expedite receipt of the requested information, please do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: lorenza.barnes@nrl.navy.mil no later than 4:00 PM EST (Eastern Standard Time), on 25 AUGUST 2016.

I. CONTRACTOR IDENTIFICATION

1. Contractor Name:

2. Subcontractor/Consultant to:

3. Contract Number:

4. Contract Type:

5. Period of Performance:

6. Initial Contract Cost/Price:

7. Current Contract Cost/Price:

8. Description of Effort:

II. RATINGS

Rating
Definition
Exceptional
Performance meets contractual requirements and exceeds many to the Government's benefit. The 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 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 element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal
Performance barely meets some of the contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
Unsatisfactory
Performance does not meet contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.

III. PERFORMANCE ASSESSMENT

A. Technical Performance: What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Technical Performance
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Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

Product Assurance - Assess the Contractor’s technical performance in the following areas:

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
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Fabrication
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Integration
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Testing
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Ability to Deliver Highly Technical, Scientific Equipment
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Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

B. Schedule Performance: Rate the contractor’s ability to deliver according the agreed-to schedule. What were the causes of any schedule variances?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Schedule Performance
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Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

C. Cost Control: Rate the contractor’s effectiveness in forecasting, managing, and controlling cost and provide reasons for changes to the contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes).

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Cost Performance
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Adherence to the original cost estimates/Targets?

|_|Yes |_|No Did the contractor underrun the contract?

|_|Yes |_|No Did the contractor overrun the contract?

|_|Yes |_|No Did the contractor control Subcontracting Cost?

|_|Yes |_|No

Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

D. Management Performance: What is your OVERALL assessment of the Contractor’s management performance?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Management Performance
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Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

Assess the Contractor’s management performance in the following areas:

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Responsiveness – Timeliness, completeness, and quality of problem identification.
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Subcontract Management – Timely award and management of subcontracts.
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Program Management – Effectiveness of integration and coordination of all activities required to execute.
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Quality – Ability to provide a product or service that met your required level of quality.
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Socioeconomic Goals – Ability to meet any applicable subcontracting goals for utilization of Small Business (SB), Small Disadvantaged Business (SDB), Women-Owned Small Businesses (WOSB), Service-Disabled Veteran-Owned Small Business (SDVOSB), HUBZone and Historically Black Colleges and Universities/Minority Institutions (HBCU/MI)
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Subcontract Management – Ability to meet the goals of the subcontracting plan, to include timely award and management.
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Management of Key Personnel – Performance in selecting, supporting and replacing-when necessary- key personnel.
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Comments (Rationale must be provided for ratings of EXCEPTIONAL or UNSATISFACTORY):

E. Termination History:
Convenience: |_|
Default: |_|
N/A: |_|

Recommendation: Would you recommend selection of this company for future awards? Explain.

|_| Yes, I would recommend this contractor for future awards.

|_| No, I would not recommend this contractor for future awards.

Comments:

PREPARED BY

Name/Title:

Telephone Number:

Organization:

Email:

Signature:

Date:

SOURCE SELECTION SENSITIVE INFORMATION DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.10 1 AND 3.104 APPLY

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