Attachment_D_-_Past_Perf_Questionnaire_.pdf

Ferrodysprosium Attachment D Past Performance Questionnaire

This questionnaire is designed to provide basic information regarding the Contractor’s past performance on the contracts they have been awarded and your satisfaction with their performance.

Please send this Questionnaire back to: Ferrodysprosium Program, Defense Logistics Agency Strategic Materials @ Noelle.Albert@dla.mil

Please complete the following identifying information and past performance assessment:

A. Contractor: ____________________________________________________________ B. Contract number: ______________________________________________________

C. Period of Performance: ________________________________________________ D. Total Contract Amount (Including any Options): ___________________________ E. Describe product acquired: _______________________________________________

Point of Contact if the Government requires clarification on information filled out in this questionnaire: (name, title, organization, address, email and phone):

Evaluator’s experience with this manufacturer (evaluator is the person filling out the questionnaire) (Evaluator’s name, title and organization if different from POC):

Rating Definition Notes

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/User’s benefit. The contractual performance of the element or sub-element assessed is accomplished with few minor problems for which corrective actions taken by the contractor is highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/User. 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.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government/User’s benefit. The contractual performance of the element or sub-element assessed is accomplished with some minor problems for which corrective actions taken by the contractor are effective.

A Very Good rating is appropriate when the Contractor successfully performs a significant event that is a benefit to the Government/User.

There should have been no significant weaknesses identified.

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

A Satisfactory rating is appropriate when there are only minor problems, or major problems that the contractor recovers from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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 are not fully implemented.

A Marginal is appropriate when a significant event occurs that the contractor has trouble overcoming which impacts the Government/User.

(U) Unsatisfactory 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 serious problem(s) for which the contractor's corrective actions appear or are ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occur that the contractor has trouble overcoming and which impacts the Government/User. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or do not apply Rating is neither positive nor negative.

When answering these questions, please consider your past experiences with the manufacturer and the products you have received from this manufacturer. Please use the rating system on page 2 when filling out the questionnaire.

1. Have you received the following materials from the manufacturer: Ferrodysprosium

Please check a box: ☐ Yes ☐ No

Please indicate the grade/purity level, granule size and material quantity you have received.

2. If applicable, please provide the contract name and number that you procured these materials under.

3. Cost- Rate the contractor’s ability to control cost and deliver at the agreed-to price.

Describe reasons for changes to contract value (e.g. scope changes, overrun/underrun, Government-imposed schedule changes, etc.).

Please circle a rating: E VG S M U N Please add additional comments below.

4. Quality- How well did the contractor adhere to the requirements of a Quality Assurance Plan or Performance Based Contracting requirements? Did the services provided meet the required level of quality or results?

Please circle a rating: E VG S M U N Please add additional comments below.

5. Performance- Rate the contractor's ability to successfully comply with the contract requirements, statement of work, subcontracting plan, etc. How was the manufacturer responsive to requests for material?

Please circle a rating: E VG S M U N Please add additional comments below.

6. Schedule- How well did the contractor adhere to the agreed-to schedule? What were the causes of any schedule variances? Were data reports and/or materials delivered on time?

Please circle a rating: E VG S M U N Please add additional comments below.

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

Please circle a rating: E VG S M U N Please add additional comments below.

8. Given the choice, would you award to this contractor again? Why/why not?

Please include any additional comments below that will assist in the evaluation of the technical competence and reliability of this material manufacturer.

Date questionnaire was completed: