ATTACHMENT 3 - PAST PERFORMANCE QUESTIONNAIRE.docx

(WHEN COMPLETED)

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

PRESENT / PAST PERFORMANCE QUESTIONAIRE

ATTACHMENT TO REQUEST FOR QUOTE (RFQ) SP3300-20-Q-0025

RE: ACQUISTION OF SPECIAL PACKAGING INSTRUCTION (SPI) FIBERBOARD SHIPPING CONTAINERS FOR DLA DISTRIBUTION WARNER ROBINS, GA

PART I – BACKGROUND

The RFQ has been issued to solicit offers that would provide the best value to the Government for the requirements of the procurement. The specific RFQ requirements may be referenced at www.beta.sam.gov. The place of performance for this contract is Contractor’s facility, the customers for the contract are DLA operated warehousing and distribution sites, and the contract will be for purchase of Special Packaging Instruction (SPI) fiberboard shipping containers in accordance with attached SPI drawing complete on an as needed basis.

A company that is interested in providing an offer on the RFQ has requested that your firm complete this present/past performance evaluation questionnaire and submit it to the following:

Return Information Email completed questionnaire to the Acquisition Specialist: kathleen.toland@dla.mil All questionnaires shall be sent to the Acquisition Specialist by the proposal due date and time.

PART II – QUESTIONNAIRE INSTRUCTIONS

This questionnaire covers the topics that are in line with the Contractor Performance Assessment Reporting System (CPARS). This questionnaire is designed to provide basic information regarding the Contractor’s present/past performance results on the contracts they have been awarded with your company and your satisfaction with their performance.

Raters please note: Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed lower than a Satisfactory rating solely for not performing beyond the requirement of the contract.

Please use the following guide in preparing your response to the below questions:

Exceptional Definition: Performance meets and exceeds many contractual requirements to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Note: To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also there should have been no significant weaknesses identified.

Very Good Definition: Performance meets and exceeds some contractual requirements to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Note: To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

Satisfactory Definition: Performance meets contractual requirements. The contractual performance of the element or sub-element being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory.

Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. There should have been no significant weaknesses identified.

Marginal Definition: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Note: To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

Unsatisfactory Definition: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Note: To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

Not Applicable Definition: 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.

PART III - PERFORMANCE ASSESSMENT

Please CIRCLE your response below each question based on the following scale:

In addition, please provide a justification for rating given if above or below satisfactory.

1. COMPLIANCE WITH PRODUCT SPECIFICATIONS:

Justification for Rating:

2. ABILITY TO PROCESS ORDERS AND MEET DELIVERY TIMEFRAMES:

3. QUALITY OF FINAL PRODUCT:

4. CUSTOMER SERVICE:

5. ANY ADDITIONAL PERTINENT INFORMATION, i.e., SAFETY, SECURITY, AND ENVIRONMENTAL COMPLIANCE, MAINTENANCE OF GFE, etc.:

Please CIRCLE your response below each question based on the following scale:

In addition, please provide an explanation when necessary.

6. MEETS MOST ACCEPTABLE PERFORMANCE LEVELS (APLs) AND/OR CONTRACT QUALITY STANDARDS:

If no, please explain:

7. RESPONDS TO COMPLAINTS IN A TIMELY MANNER:

8. DISPUTES THE SCOPE OF THE REQUIREMENT:

If yes, please explain:

9. SUBMITS REASONABLE PRICE PROPOSALS ON CONTRACT CHANGES:

10. HAS PROBLEMS WITH PAYROLL, PAYING FOR SUPPLIES, OR SUBCONTRACTORS:

11. DIFFICULT WHEN NEGOTIATING CHANGES:

12. PRO-ACTIVELY ANTICIPATES, AVOIDS, OR MITIGATES PROBLEMS:

13. BILLING IS TIMELY, ACCURATE, AND COMPLETE:

14. IF GIVEN A CHOICE, WOULD YOU AWARD TO THIS CONTRACTOR AGAIN:

15. PLEASE PROVIDE ANY ADDITIONAL INFORMATION REGARDING THIS CONTRACTOR’S PERFORMANCE, IF APPLICABLE:

PART IV - GENERAL PROGRAM INFORMATION

RELEVANT PREVIOUS CONTRACT -- IDENTIFICATION

Please provide a brief description of the supplies provided under the contract administered by your organization:

Contract Original Dollar Amount: ____________________

Contract Current Dollar Amount: ____________________

Contract Original Period of Performance: ____________________

Contract Current Period of Performance: ____________________

Contractor/Company Name/Division: ____________________

Contract Place of Performance (Address): _________________________________________

Program Identification/Title: ____________________

Contract Number: ____________________

Contract Type: _____________________

Prime Contractor Name (if this was a subcontract effort): __________________________________

Contract Award Date: ____________________

Forecasted or Actual Contract Completion Date: ____________________

Method of Acquisition (competitive or noncompetitive): ____________________

Nature of Award (initial or follow-on): ____________________

Nature of the Contractual Effort or Items Purchased: ____________________

Evaluator’s Name: __________________________________________

Evaluator’s Signature: __________________________________________

Evaluator’s Title: _______________________ Evaluator’s Telephone No: ___________________

Agency or Business: ______________________________________________________________

Address: ________________________________________________________________________________

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104.