Attachment_3_-_Past_Perf_Survey.doc

SP4510-19-Q-0004

ATTACHMENT 3

CONTRACTOR PAST PERFORMANCE

DATA SHEET

Offeror’s Name:

The questionnaire shall be completed as provided. If required, only the spacing may be modified to accommodate the Offeror or respondent’s comments.

PART I – To be completed by the Offeror and forwarded to Commercial or Government Respondent

1.

Contract Number:

2.

Point of contact, phone number, email address at agency or company where the contract was performed:

3.

Detailed description of the work performed:

4.

Dollar value of contract:

5.

Name(s) of subcontractors used, if any, and a description of work performed by the subcontractors:

6.

The number, type and severity of any quality, delivery or price problems in performing the contract, the corrective action taken and the effectiveness of the corrective action. If no problems arose during performance of the contract, enter “N/A.”

PART II – To be completed by the respondent and returned to DLA Disposition Services (Do not return to the Offeror who originated this request)

A.

The completion of Part II of this questionnaire is requested from your agency/company in order for DLA Disposition Services to evaluate the aforementioned contractor’s past performance on previous contracts as it relates to the probability of successful accomplishment of the work required by the Government relative to the award of the contract resulting from the solicitation.

Please provide concise comments regarding your overall assessment of the contractor’s performance on the contract identified below. Please respond to each question in a narrative format. Please email your completed questionnaire along with a copy of Part I directly to:

DLA Disposition Services

Matthew Wonch matthew.wonch@dla.mil Please submit this response by ____________________

Company Name:

Business Address:

POC/Title/Position:

Email Address:

Telephone Number:

Contract Number:

Contract Amount:

Contract Type:

Period of Performance:

B.

Explanation of Codes:

Exceptional (E) – Performance meets contractual requirements and exceeds many 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.

Very Good (VG) – Performance meets contractual requirements and exceeds some 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 were effective.

Satisfactory (S) – Performance meets contractual requirements. The contractual performance of the element or sub-element being assessed contains minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal (M) – 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 identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

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

C.

Circle the appropriate letter for each item on the questionnaire, providing supporting narrative.

1.

Rate the offeror’s technical performance (quality of Service/Product):

a.

Did the offeror comply with contract requirements?

E

VG

S

M

U

UNK

b.

Were reports or other deliverables accurate and fully descriptive?

E

VG

S

M

U

UNK

c.

Were there any performance problems and, if so, were they resolved effectively?

S

M

U

UNK

2.

Rate the offeror’s key personnel (Management):

a.

Were adequate key personnel allocated to meet the contract requirements?

S

M

U

UNK

b.

As applicable, were key personnel replaced effectively?

S

M

U

UNK

c.

Were key personnel able to respond to your concerns, isolate and resolve problems and take systemic improvement action:

E

VG

S

M

U

UNK

3.

Rate the offeror’s timeliness:

Demonstrated ability to comply with delivery and/or performance schedules. What were the causes of any delays?

S

M

U

UNK

b.

Timeliness of submission of requested information, reports and invoicing. What were the causes of any delays?

E

VG

S

M

U

UNK

4.

Rate the offeror’s responsiveness (Business Relations):

Was the offeror professional, cooperative and effective in correcting any problems?

S

M

U

UNK

D.

What is your overall rating of the contractor’s performance?

E

VG

S

M

U

UNK

E.

Identify the contractor’s overall strengths and weaknesses.

F.

Given the choice, would you award to this contractor again?

G.

Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

H.

Is there anyone else we should send this questionnaire to? Please identify by name, organization and phone number.

Source Selection Information

See FAR 2.101 and 3.104