SI_SECTION_J_Attach_B_Past_Performance_Questionaire_4-6-17.doc

Section J Attachment B

SAQMMA17R0131

Request for past performance information for Thank you for assisting our procurement effort by providing us information on your experience with this contractor. This Past Performance Information Request focuses on [Offeror’s] experience in transitioning successfully from one contract/contractor to another, and in system installations, training, help desk support, and configuration management.

Both performance risk and quality of past performance will be rated. Performance risk will be assessed in terms of the relevance of the Offeror’s referenced experience in the areas of the contract noted above. Quality of past performance focuses on quality of service delivery, timeliness and responsiveness of performance, effectiveness of program management, and cost control. We have organized our questions to reflect these two areas, preceded by a section requesting general contractual information.

We are providing a guide at the beginning of Section II.B of this questionnaire as to the meaning of each of the adjectives listed for you to use in rating Offeror performance. This will assist you in completing the attached questions in a manner similar to that of the other references who are also being asked to complete this same questionnaire. Based on these descriptions, please circle the letter of the rating that most closely corresponds to your experience with this Offeror.

Please note: Our use of the word “Offeror” in the questionnaire below is in the context of this procurement. In regard to the efforts for your organization under the referenced contract, please interpret “Offeror” as the Contractor or Subcontractor responsible for these efforts.

When you have completed this questionnaire, please return it by Fax to 703-875-6699 or e-mail it to stewartj@state.gov.

Thank you again for your assistance.

PAST PERFORMANCE QUESTIONNAIRE

I.

GENERAL CONTRACT INFORMATION

A. Name of Contracting Entity:

B. CO/COTR Name:

C. CO/COTR Phone Number:

D. CO/COTR Email Address:

E. Contract Number:

F. Task Order Number (if applicable):

G. Contract Title:

H. Contract Type (e.g., FFP, CPFF, CPAF, T&M):

I. Contract Clearance Level (e.g., Top Secret, Secret) __________________ J. Performance-based? Yes ___ No ___ K. Follow-on?: Yes ___ No ___ L. Competitive?: Yes ___ No ___ M. Period of Performance:

N. Place(s) of Performance:

O. Offeror Role: Prime Contractor ___ Subcontractor ___ P. Offeror Business Unit/Division Performing the Work:

Q. Initial Contract Cost:

R. Current (or Final) Contract Cost:

S. Plus Fee (if applicable):

T. Total Current (or Final)Value:

U. Product Description and/or Service Provided, including geographic distribution of product/services and Contractor's work schedule (days of weeks and hours of performance) :

II. PAST PERFORMANCE EVALUATION: CONTRACT TRANSITION, INSTALLATION, TRAINING, HELP DESK, AND CONFIGURATION MANAGEMENT

A. CONTRACT RELEVANCE/PERFORMANCE RISK

1. Offeror was involved with transition efforts under the referenced contract/task order. Yes ___ No ___

Please explain Offeror's activities:

2. Offeror was involved with system installation efforts under the referenced contract/task order. Yes ___ No ___

If yes, please explain Offeror's activities:

3. Offeror was involved with warehousing efforts under the referenced contract/task order. Yes ___ No ___

4. Offeror was involved with training under the referenced contract/task order. Yes ___ No ___

5. Offeror was involved with Help Desk support under the referenced contract/task order. Yes ___ No ___

6. Offeror was involved with Configuration Management under the referenced contract/task order.

Yes ___ No ___

7. Offeror performed overseas travel under the referenced contract/task order.

Yes ___ No ___

If yes, please explain Offeror's activities; purpose, locations, cost effectiveness, and frequency of travel; adherence to schedules; flexibility when changes to travel arrangements were necessary; accomplishment of the travel purpose and goals; communications with non-Americans; and adaptability to other cultures and customs :

B. QUALITY OF PAST PERFORMANCE

8. Did the Offeror provide for effective overall contract management, including submission of accurate, complete, and timely reports and invoices?

a. Excellent b.

Very Good

c. Good

d. Marginal e. Unacceptable f. Not applicable to this contract Comments:

9. If the contract included provisions for teaming arrangements and/or subcontractors and the Offeror was designated as the Prime, did the Offeror appropriately manage subcontractor activities?

b.

Very Good

c. Good

10. If the contract included provisions for teaming arrangements and/or subcontractors and the Offeror was designated as a subcontractor, did the Offeror respond well to the Prime and was this subcontractor effort seamless?

b.

Very Good

c. Good

11. Did the Offeror respond positively and promptly to technical or policy directions?

b.

Very Good

c. Good

12. Did the Offeror’s technical personnel demonstrate the required technical knowledge?

b.

Very Good

c. Good

13. What was the percentage of staff turnover during the period of performance for this Offeror?

b.

Very Good

c. Good

14. Were there any key personnel changes? Yes ___ No ___

15. Did the Offeror meet major milestones, including deliverables and adherence to contract/Task Order schedules, or offer an effective alternative through problem resolution when it could not?

b.

Very Good

c. Good

16. Was the Offeror committed to quality, and effective and cooperative in interfacing with your organization's staff and with other Contractors, as required?

b.

Very Good

c. Good

17. Was the Offeror flexible, effective, and innovative in responding to emerging situations?

b.

Very Good

c. Good

18. How accurately did the Offeror account for material (hardware & software) supplied either under its contract to you or by the Government?

b.

Very Good

c. Good

19. To what extent did the Offeror meet proposed cost estimates?

b.

Very Good

c. Good

20. Did the Offeror make good use of cost efficiencies?

b.

Very Good

c. Good

21. Overall assessment of Offeror performance (strengths/weaknesses):

22. Would you have any reservations about awarding another contract to this Offeror? Yes ___ No ___

If yes, please explain:

III. EVALUATOR IDENTIFICATION

A. Evaluator Name:

B. Evaluator Title:

C. Evaluator Signature:

D. Date of Evaluation: