Attach 4_Past Performance Questionnaire.pdf

SPE302-20-R-0001

PAST PERFORMANCE QUESTIONNAIRE

TO BE COMPLETED BY THE RESPONDENT AND RETURNED TO DEFENSE LOGISTICS

AGENCY (DLA) TROOP SUPPORT INDO-PACIFIC HAWAII

Offeror’s Name:

Cage Code:

The completion of Part I of this questionnaire shall be completed by the offeror.

The completion of Part II of this questionnaire is requested from the respondent’s agency/company in order that DLA Troop Support Hawaii may evaluate the aforementioned contractor’s past performance on previous contracts as it relates to the probability of successful accomplishment of the work required by DLA Troop Support relative to the award of the contract resulting from the solicitation.

The respondent shall 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 e-mail your completed questionnaire directly to all the addresses below and Email to:

Anna Hamada at Anna.Hamada@dla.mil and Chelsea McNeely at Chelsea.McNeely@dla.mil, information must include “SPE302-20-R-0001 Past Performance Information (Vendor Name)” in the subject line of the email by February 18, 2020 at 10:00 am Hawaii Standard Time:

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

PART I – TO BE COMPLETED BY OFFEROR

DEADLINE FOR RESPONDENT’S RESPONSE: ______________________________ [Offeror to fill-in]

1. Contractor Name:

2. Contract number:

3. Point of contact/phone number and fax number at agency where the contract was performed:

Name:

Telephone:

Fax:

Email:

4. Detailed description of the work performed:

5. Dollar value of contract:

6. Period of Performance:

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

PART II – TO BE COMPLETED BY THE RESPONDENT

1. Describe the work that the offeror performed for you under this contract as follows:

A. Average number of delivery stops (i.e. delivery stops are individual delivery points receiving supplies under a delivery order) per week

B. Average number of line items/SKUs on the contract/catalog C. Instances of problems and the actions taken to resolve and preclude recurrence D. Any instances of exceptional performance exceeding requirements E. Fill rates without substitutions.

2. Assessment Elements. Circle the appropriate letter for each item on the questionnaire (or if forwarding electronic copy via e-mail, “bold” the appropriate letter) and provide supporting narrative.

The definitions of the Acceptable /Unacceptable ratings are provided below:

Adjectival Rating Description

Acceptable (A) Fully compliant accomplishment of contract requirements and positive customer satisfaction with Low Performance Risk.

Unacceptable (U) Failure to properly accomplish contract requirements and failure to satisfy customer resulting in Unacceptable Risk.

Not Applicable (N) Unable to provide a score. Performance in this area not applicable to work done for respondent by offeror.

(1) Achieving Contract Requirements: The offeror’s demonstrated history of delivering products and services met or exceeded the requirements of the contract.

How would you describe your level of customer satisfaction?

If applicable: Also describe instances of rework and/or deficiency reports. Also describe effective and/or innovative work applications that were beneficial to you.

(2) Timeliness.

Did the Contractor meet/comply with performance schedules?

A

If applicable: Please describe what the causes of any delay were.

Rate the timeliness of submission of requested information, reports and invoicing.

(3) Contractor Responsiveness. The offeror’s demonstrated ability to:

Respond to customer concerns

Isolate and resolve problems o the number and severity of problems o the effectiveness of corrective actions taken

Contractor's cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/under-run, buyer-imposed schedule changes, etc.)

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

4. Please provide the name, title, address, and phone number of the person completing this questionnaire.

Phone ____________________________________________ FAX _______________________________

Thank you for your assistance in this source selection. If you have any questions, you can contact:

Anna I. Hamada Anna.Hamada@dla.mil

PH: (808) 786-2173

Chelsea McNeely Chelsea.McNeely@dla,mill

PH: (808) 786-2281