RFP Attachment E- Present and Past Performance Questionnaire.docx

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

CUI

RFP FA8509-24-R-0026

ATTACHMENT E

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Return your completed questionnaire electronically in accordance with the instructions provided.

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL NOT BE RELEASED TO THE OFFEROR. AS SUCH, PLEASE DO NOT PROVIDE A COPY OF THIS COMPLETED QUESTIONNAIRE TO THE OFFEROR.

PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT YOURSELF:

Name/Signature and Role Relative to Contract (e.g. Buyer, Program Manager):________________________________________________________ Agency or Business: ______________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Address: _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Telephone No. _______________________________ FAX No. ____________________________________

Part I. SPECIFIC PROGRAM INFORMATION.

Contractor/Business: (Offeror pre-fill in business name and CAGE code)

Program Title and Brief Description: _____________________________________________________________________________________

Role Offeror Performed As: _____Prime _____Subcontractor _____Vendor/Supplier

Contract Number: (Offeror pre-fill in contract number)________ Number of Years?: Basic:________ Option: _________

Contract Type(s): List all applicable contract types, i.e. Firm-Fixed-Price, Time & Materials, Cost, etc._________________________________________________________________________________________________________________

PART II. GENERAL PROGRAM INFORMATION.

Period of Performance:

1. Original Schedule (assuming all options exercised): Beginning Date _________ through ____________

Contract Dollar Value:

NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 4 of 5 or on an additional sheet to this document (which is in word format). If supporting documentation is not provided for ratings that are other than “satisfactory,” the ratings will be considered to be unsubstantiated and will be interpreted as satisfactory.

PART III. PERFORMANCE ASSESSMENTS.

Please check the appropriate rating for each of the following questions:

N/A=Not Applicable U=Unacceptable A=Acceptable

1. Extent to which Company’s services met the specification /performance requirements:

2. Configuration Management (first product delivered same as last):

3. Quality of Completed Product:

4. Overall management of subcontracting efforts:

5. Quality of Technical Manuals or Commercial Manuals:

6. Customer’s Satisfaction with warranty response times and corrective actions:

7. Adequate Number of Dedicated Resources For Your Program:

8. Timely recognition and notification of administrative, engineering, production, problems affecting the program:

9. Company performed independently without significant customer direction/oversight?

10. Monitoring of Program Schedules and Critical Milestones:

11. Completed Work on Time:

12. Extent to which small businesses, veteran-owned small businesses, small disadvantaged businesses and other socio-economic business sectors were utilized in the performance of the contract

13. Has action been initiated to cancel or terminate the contract for default? If yes, explain. ________________________________________________________________________________________________________________________

14. Have there been any disputes/claims relative to the contract? If yes, explain.

15. Describe the contractor’s or company’s strong and/or weak points identified as a result of technical performance and any technical performance risk identified during the life of the contract. ________________________________________________________________________________________________________________________

16. If given a choice, would you award to this contractor again? If not, please explain. ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________

17. Do you feel you “got what you paid for”? Please explain. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

18. Additional Remarks.

RFP FA8509-24-R-0026

ATTACHMENT E

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

A ACCEPTABLE: Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown.

U UNACCEPTABLE: Based on the offeror’s performance record, the Government does not have a reasonable expectation that the offeror will be able to successfully perform the required effort.

N/A NOT APPLICABLE: Did not apply to this acquisition; or questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

NOTICE TO QUESTIONNAIRE RESPONDENTS: Please do not include this page when returning the completed questionnaire.

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

CUI