Connections II Past Performance Questionnaire Attachement Amend 05.docx

Attachment 3 – Connections II Past Performance Questionnaire The General Services Administration (GSA) is interested in your assessment of our performance on the referenced contract in order to evaluate the probability that we will successfully perform on a federal government requirement that is currently being solicited. The referenced contract information is set out below. Please verify the accuracy of this information and then evaluate our performance based on the criteria and guidelines that are provided here.

Company Name Point of Contact (POC) Company Address POC Telephone Number POC Email Please return this questionnaire by email directly to the GSA Procuring Contracting Officer at the address below no later than September 7, 2010.

Connections II Contracting Officer General Services Administration Federal Acquisition Service 10304 Eaton Place Fairfax, Virginia 22030

(703) 306-6453 cnx2pco@gsa.gov I. Contract Information (completed by the offeror)

1. Customer/Agency name:

2. Contract title:

3. Contract or task order number:

4. Total contract value:

5. The percent of total contract work complete to date by the contractor:

6. Contract start date and end date:

7. Customer’s/Contracting Officer’s name, address, and telephone number:

8. Customer’s/Program Manager’s name, address, and telephone number:

9. Contractor’s support role (prime or subcontractor):

10. A description of the work performed by the contractor:

II. Customer Evaluation (completed by the customer/agency)

1. Is the contract information provided by the contractor above correct to the best of your knowledge?

Yes or No?

If “No,” why not?

2. Please rate the contractor’s performance as “Outstanding”, “Good”, “Satisfactory”, “Unsatisfactory”, or “Not Applicable” (N/A) in the following areas based on the attached rating guidelines:

a. Technical Performance

i. Compliance with contract requirements, terms, and conditions.

Rating:

ii. Appropriateness and competence of personnel.

Rating:

iii. Overall quality of products, services and support provided.

Rating:

b. Cost/Price Performance

i. Adherence to target costs on the contract level and at the task level.

Rating:

ii. Cost overruns or fixed priced change proposals submitted were justified and reasonably priced.

Rating:

c. Schedule Performance

i. Timely completion of deliverables and/or milestones on tasks.

Rating:

3. Please provide any additional comments, both positive and negative, that should be considered by the government. Please explain any “unsatisfactory” ratings identified from Item #2, above).

Respondent Information

1. Name of Evaluator(s):

2. Position Title:

3. Organization Name and Mailing Address:

4. Telephone Number:

5. E-mail Address:

6. Date Questionnaire Completed:

THANK YOU FOR YOUR TIME IN COMPLETING THIS QUESTIONNAIRE

Past Performance Rating Guidelines Please use the following guidelines in assigning your ratings as instructed in Part II of the Past Performance Questionnaire.

Compliance with contract requirements, terms, and conditions Appropriateness and competence of personnel Overall quality of products, services and support provided Cost/Price Adherence to target costs/fixed price on the contract level and at the task level Cost overruns or fixed priced change proposals submitted were justified and reasonably priced Schedule Timely completion of deliverables and/or milestones on tasks