RFP_Attachment C - Past Performance Questionnaire.docx

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Attachment C - Past Performance Questionnaire The National Oceanic Atmospheric Administration (NOAA) is in the process of competitively soliciting for a IDIQ for the requirement of Visibility Present Weather Sensors to support the Automated Surface Observing System (ASOS).

One of the considerations in Request for Proposal (RFP) evaluation is the contractor's past performance on Government contracts or other work efforts which reflect the vendor’s ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the vendor, for the evaluation of the vendor’s performance on those contracts or work efforts.

Our areas of interest regarding the contractor are summarized below.

If you have any questions or concerns relating to the validity of this request, please contact Mr. Paul Thomas, NOAA Contract Specialist, at paul.thomas@noaa.gov. Otherwise, please direct your response to this request to the vendor who requested this past performance information. Please provide your written and signed response to the sender of this Past Performance Questionnaire by the solicitation due date.

Your assistance and prompt response is greatly appreciated!

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

Schedule (assuming all options exercised):

Beginning Date _________ through ____________

H. Contract Dollar Value

Contract dollar value (assuming all options exercised): $

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of service/supply under this contract (i.e., local, nationwide, worldwide, other):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Section 4: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Narrative to support rating: Example: How well did the contractor meet the technical requirements of the specification?

Schedule

Narrative to support rating: Example: Were all items shipped adequately and promptly received in accordance with the terms and conditions of the order/contract?

Management

Narrative to support rating: Example: How well did the contractor implement contractor quality assurance processes?

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I [ click and select an item ] award to the vendor today, given that I had a choice.

REMARKS:

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

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to the vendor

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