OPPD worksheet.docx

N0024426QS017

OFFEROR’S PAST PERFORMANCE DATA

When filled in, this document is Source Selection Sensitive Information in accordance with FAR 2.101 and 3.104.

SECTION 1: CONTRACT IDENTIFICATION

A. Solicitation Number: ____________________________________________________

B. Contractor: ____________________________________________________________

C. Cage Code of contractor contract was awarded to: _______________________________

D. Contract number: ____________________________________________________________

E. Contract type: ____________________

F. Was this a competitive acquisition? Yes ___ No _____

G. Period of performance: _________________________________________

I. Initial contract cost: $_______________________________________

J. Current/final contract cost: $____________________________________

K. Reasons for differences between initial contract cost and final contract costs: ______

L. Description of service provided

SECTION 2: EVALUATOR IDENTIFICATION

A. Evaluator's name: ________________________________________________________

B. Evaluator's title: __________________

C. Evaluator’s organization: ___

D. Evaluator's phone/fax number/email address: __________

E. Additional Point of Contact and phone number: ______________________________________________________________________________________

SECTION 3: RELEVANT EXPERIENCE

E1: PM/CM MAINTENANCE FOR SCBA

E2: Met scheduled delivery date

Price Performance P1 Accuracy in meeting forecasted costs and perform within contract costs

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. The scale is defined as follows:

RISK RATING

A – The offeror’s performance of previously awarded relevant contract(s) met contractual requirements and exceeded many to the government’s benefit. The assessed prior performance was accomplished with very few or very minor problems for which corrective actions taken by, or proposed to be taken by, the offeror were, or are expected to be, highly effective. Performance of completed contracts either was consistently of the highest quality or exhibited a trend of becoming so. The offeror’s past performance record leads to an extremely strong expectation of successful performance.

B - The offeror’s performance of previously awarded relevant contract(s) met contractual requirements. The assessed prior performance was accomplished with some problems for which corrective actions taken by, or proposed to be taken by, the contractor were, or are expected to be, for the most part effective. Performance over completed contracts was consistently of adequate or better quality or exhibited a trend of becoming so. The offeror’s past performance record leads to an expectation of successful performance.

D - The offeror’s performance of previously awarded relevant contracts did not meet some contractual requirements. The assessed prior performance reflected some serious problems for which the contractor either failed to identify or implement corrective actions in a timely manner, or for which the corrective actions implemented or proposed to be implemented were, or are expected to be, only partially effective. Performance over completed contracts was consistently of mediocre quality or exhibited a trend of becoming so. The offeror’s past performance record leads to an expectation that successful performance might be difficult to achieve or that it can occur only with increased levels of government management and oversight.

F - The offeror’s performance of previously awarded relevant contract(s) did not meet most contractual requirements and recovery did not occur with the period of performance. The assessed prior performance reflected serious problem(s) for which the offeror either failed to identify or implement corrective actions or for which corrective actions, implemented, or proposed to be implemented, were, or are expected to be, mostly ineffective. Performance over completed contracts was consistently of poor quality or exhibited a trend of becoming so. The offeror’s past performance record leads to a strong expectation that successful performance will not be achieved or that it can occur only with greatly increased levels of government management and oversight.

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s greatest strengths in the performance of the contract? ____________________

Responsiveness to client requirements_____________________________________________

What were the contractor’s greatest weaknesses in the performance of the contract?

Would you have any reservation about soliciting this contractor in the future or having them fulfill one of your critical and demanding requirements?

Yes__No___ If yes, provide explanation: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please provide any additional comments concerning this contractor’s performance, as desired.

Thank you for your prompt response and assistance.

Please email this completed questionnaire to with a copy to AMBER.M.HAVERSTICK.CIV@US.NAVY.MIL