RFP_LTRaC-MAC1_SectionJ-Attach-5_Past Performance Assessment Questionnaire.docx
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- Attached to
- Live Training, Ranges, and Combat Training Centers (LTRaC) Multiple Award Contract (MAC) 1
- Solicitation number
- W900KK-25-R-0001
About this file
This is a Past Performance Assessment Questionnaire (CPAQ) template that is Attachment 5 to Section J of the Live Training Ranges and Combat Training Centers (LTRaC) Multiple Award Contract (MAC) 1 solicitation W900KK-24-R-0001.
The questionnaire requires completed forms to be submitted to specified Army email addresses in Arial 12-point font. It contains three main sections: Contract Administrative Data (to be completed by offeror), Point of Contact Data (to be completed by government), and Performance Assessment (to be completed by past performance reference). The assessment uses a 5-level rating system from Unsatisfactory to Exceptional and evaluates three key performance areas: Quality (conformance to requirements and workmanship), Schedule (timeliness of deliverables and milestones), and Management (business orientation and customer focus). Each rating requires supporting examples. The questionnaire is part of a source selection process for a small business set-aside contract focused on target lifters, initial targets, and ancillary range control computers with proposals due February 12, 2025.
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Live Training Ranges and Combat Training Centers (LTRaC) Multiple Award Contract (MAC) 1 Solicitation Number W900KK-24-R-0001 Section J - Attachment 5
CONTRACTOR PERFORMANCE ASSESSMENT QUESTIONNAIRE (CPAQ)
Responses shall be in Arial font, size 12 and not be bold.
Instructions to Offeror: Send the completed questionnaire to Helen.G.Simpson2.civ@army.mil and Roberto.J.GotayGarcia.civ@army.mil
I. CONTRACT ADMINISTRATIVE DATA (To be completed by the Offeror)
Offeror Name:
Contract Number/Task Order:
Contract Name:
Period of Performance:
Contract Type:
Offeror Role in Contract:
Dollar Value of Contract:
Dollar Value of Offeror Role in Contract:
Dollar Value of Effort as it Relates to the Similar LTRaC Effort:
Administrative Place of Contract:
Cage Code:
DUNS:
Customer:
Contracting Agency:
II. POINT OF CONTACT (POC) Data (To be completed by the Government contracting activity and/or the technical representative)
Name:
Position or role:
Agency:
Address:
Phone:
Email:
Other:
III. INFORMATION TO THE PAST PERFORMANCE QUESTIONNAIRE (PPQ) POINT OF CONTACT (POC)
Your assistance is requested in support of a source selection. Please provide responses to, 1 through 6, that are listed below the assessment rating system table. Place an “X” in the rating that best assesses the Offeror’s performance in the areas listed below. Then provide examples (two examples are requested) to substantiate your rating.
Assessment: (To be completed by the PPQ POC)
Instructions to complete the assessment:
Rating System Table: A common five level assessment rating system is used to evaluate a contractor's performance. Ratings range from Unsatisfactory to Exceptional. Here's a breakdown of each category:
| 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 does not meet some 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 most 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. |
1. Given what I know today about the Contractor's ability to perform in accordance with this Contract or Order’s most significant requirements, I WOULD or WOULD NOT recommend them for similar requirements in the future.
2. Quality: (Assess Contractor's day-to-day performance and conformance to contract/order requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards. Does the service provided meet the specifications of the contract/order? Was the Contractor able to successfully support fielded equipment? Did the Contractor meet contractual turn-around-time to service/maintain the system(s)? Are reports/data accurate? Does the Contractor’s work measure up to commonly accepted technical or professional standards? What degree of Government technical direction was required to solve problems that arose during performance? Is the site manager allowed to operate autonomously (as appropriate and within reason) on some administrative and other matters?)
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Provide examples that substantiate the ‘Quality’ rating:
3. Schedule: (Assess the timeliness of the contractor against the completion of the Contract, Task/Delivery Orders, milestones, delivery schedules and administrative requirements (e.g., efforts that contribute to or affect schedule variance). Does the Contractor routinely have difficulty meeting availability or scheduled requirements? Is the Contractor responsive, at the site management level, to short notice additional instruction or premium time government requests? Does the Contractor participate in the planning process to provide feedback to the Government in terms of scheduling and other efficiencies?
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Provide examples that substantiate the ‘Schedule’ rating:
4. Management: (Indicate your overall level of satisfaction with the Contractor's management (at the local site level, program office, and headquarters). Assess Contractor's business orientation (focus on meeting customer needs first, profit first, proactive, and aggressive pursuit of problem solving, delays in acting on program needs - a good business partner?). Does the Contractor meet end-user needs promptly without demands for contract changes? (This does not refer to work that is clearly out-of-scope). Examples might include movement of instruction hours, tours, or student walk-ins.).
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Provide examples that substantiate the ‘Management’ rating:
Signature _______________________________________ Date _____________ Please note that electronic signatures are acceptable. An e-mail from the originator of this document will suffice. Signatures (electronic or handwritten) verify that you completed this form and agree with the information contained within it.
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